Individual
MR. CHARLES S DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED.,ATC.,CSCS.,CEAS
Contact information
Practice address
1930 ROYAL DR, CONWAY, AR 72034-7346
(501) 580-7670
Mailing address
1930 ROYAL DR, CONWAY, AR 72034-7346
(501) 580-7670
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
2255A2300X
Athletic Trainer
AT120
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT120
ARKANSAS STATE BOARD OF A
AR
Enumeration date
07/30/2007
Last updated
07/30/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us