Individual
DR. CHARLES M DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 HOPE DR STE 2400, HERSHEY, PA 17033
(717) 531-5638
(717) 531-0983
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD061890L
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD061890L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016439810002
—
PA
Enumeration date
04/17/2006
Last updated
08/30/2019
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