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1457425902
CHARLES D DAVIDSON
WALNUT RIDGE, AR
NPI
1457425902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR N8263)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- CHARLES D DAVIDSON M.D.
1210 W MAIN ST
WALNUT RIDGE, AR 72476-1005
Phone number: 870-886-3543
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Mailing Address
-- CHARLES D DAVIDSON M.D.
PO BOX 719
WALNUT RIDGE, AR 72476-0719
Phone number: 870-886-3543
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