Individual
DR. ANDY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 S MAIN ST, CAVE CITY, AR 72521
(870) 283-5353
(870) 283-5988
Mailing address
16 HOSPITAL CIR STE A, BATESVILLE, AR 72501-7343
(870) 262-5545
(870) 262-3253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6213
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102771001
—
AR
01
—
13297000000
QUALCHOICE
AR
Enumeration date
09/23/2005
Last updated
06/15/2018
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