Individual provider · NPI-1

Eddie Bee Davis Jr.

Massage Therapist · Jacksonville, NC

NPI number1568397107
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1568397107
Entity type
Individual (NPI-1)
Name
Mr. Eddie Bee Davis Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2026
Certification date
Jun 15, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist20042NCYes

Practice location

211 Henderson Dr
Jacksonville, NC 28540-5603

Phone 217-390-8572

Mailing address

211 Henderson Dr
Jacksonville, NC 28540-5603

Phone 217-390-8572

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