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Individual

CHARLES DONAVAN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631
(855) 446-5937
(740) 446-5711
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(855) 446-5937
(740) 446-5711

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.134233
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0311469
OH
Enumeration date
04/20/2015
Last updated
01/21/2021
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