Charles W. Davis II MD LLC

NPI #1003357476 in Glen Burnie, Maryland

Provider Information

NPI Number: 1003357476
Entity Type: Organization
Organization Name: Charles W. Davis II MD LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 17, 2017
Last Updated: Mar 30, 2017

Practice Location

Address: 1406B CRAIN HWY S
Address 2: SUITE 107
City: Glen Burnie
State: Maryland
ZIP Code: 21061-4099
Phone: (410) 595-2042

Authorized Official

Name: CHARLES W DAVIS II, M.D.
Title: SOLE MANAGER
Phone: (410) 335-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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