Individual
EDDIE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHP
Contact information
Practice address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-8110
Mailing address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-8110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
09/12/2018
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