Individual
MRS. CHARLOTTE MARY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 CHURCH ST, COLUMBIA, MS 39429-3158
(601) 740-0008
(601) 633-0919
Mailing address
909 CHURCH ST, COLUMBIA, MS 39429-3158
(601) 740-0008
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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