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1003357476
CHARLES W. DAVIS II MD LLC
GLEN BURNIE, MD
NPI
1003357476
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Entity Type
Organization
Authorized Contact
CHARLES W DAVIS
Sole Manager
410-335-0008
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2017-03-17
Last Update Date
2017-03-30
Business Address
CHARLES W. DAVIS II MD LLC
1406B CRAIN HWY S SUITE 107
GLEN BURNIE, MD 21061-4099
Phone number: 410-595-2042
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Mailing Address
CHARLES W. DAVIS II MD LLC
PO BOX 62440
BALTIMORE, MD 21264-2440
Phone number: 410-625-5050
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