CHARLES JORDAN DAVIDSON

HAZARD, KY
NPI1245839000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: KY  2203DT)
Enumeration Date2020-10-22
Last Update Date2022-09-15
Business Address
CHARLES JORDAN DAVIDSON OD
1824 N MAIN ST
HAZARD, KY 41701-1020
Phone number: 606-217-0920
Mailing Address
CHARLES JORDAN DAVIDSON OD
167 WOODLAND AVE
HAZARD, KY 41701-2060
Phone number: 606-217-0920
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