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Individual
MR. CHARLES SETH DAVIS
Active
Individual
MR. CHARLES SETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1-091410
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-091410
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
1063439065
NPI GROUP PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
04/08/2014
Last updated
05/09/2025
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