Individual
CHARLES W DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14680 US HIGHWAY 17, HAMPSTEAD, NC 28443-3504
(910) 319-0645
Mailing address
PO BOX 308, HAMPSTEAD, NC 28443-0308
(910) 319-1605
(910) 803-2340
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC6133
NC
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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