Individual
DR. CHARLES STEPHEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-4187
(252) 261-5182
Mailing address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-4187
(252) 261-5182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21930
NC
207Q00000X
Family Medicine Physician
Primary
21930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927224
—
NC
Enumeration date
09/06/2005
Last updated
06/12/2013
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