Individual
DR. CHARLES MONROE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26317 W. WASHINGTON STREET, PETERSBURG, VA 23803
(804) 524-7373
Mailing address
431 CROSS ST, PETERSBURG, VA 23803-3837
(804) 862-4637
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
0101018800
VA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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