Individual
CHARLES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9630
(828) 326-3809
Mailing address
2836 PALMER DR NE, CONOVER, NC 28613-9303
(828) 326-3809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9500879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1251G
NC BCBS
NC
05
—
891251G
—
NC
Enumeration date
07/14/2006
Last updated
03/07/2023
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