Individual
MR. CHARLES HENRY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4859 SHED RD, SUITE 200, BOSSIER CITY, LA 71111
(318) 746-5000
(318) 746-4000
Mailing address
4859 SHED RD, SUITE 200, BOSSIER, LA 71111-4859
(318) 746-5000
(318) 746-4000
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
LA
224P00000X
Prosthetist
—
LA
225000000X
Orthotic Fitter
Primary
—
LA
Other
Enumeration date
09/24/2007
Last updated
10/27/2007
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