Individual
DR. CHARLES KING DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 WOODLAND DR, PADUCAH, KY 42001-4677
(270) 442-1468
Mailing address
755 WOODLAND DR, PADUCAH, KY 42001-4677
(270) 442-1468
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13889
KY
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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