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1154669026
CHARLES KING DAVIS
PADUCAH, KY
NPI
1154669026
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Former Name
CAROLYN ALBERT DAVIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: KY 13889)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
Dr. CHARLES KING DAVIS md
755 WOODLAND DR
PADUCAH, KY 42001-4677
Phone number: 270-442-1468
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Mailing Address
Dr. CHARLES KING DAVIS md
755 WOODLAND DR
PADUCAH, KY 42001-4677
Phone number: 270-442-1468
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