Individual
MR. CHARLES DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8001 ALLISON DR SE, HUNTSVILLE, AL 35802-4019
(256) 603-6642
Mailing address
8001 ALLISON DR SE, HUNTSVILLE, AL 35802-4019
(256) 603-6642
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
034
AL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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