Whalio Doctors

NPI 1891985438

Charles S Davidson, MEDATCCSCSCEAS

Practitioner Rehabilitation Practitioner Conway, AR

Practice location

Address
1930 Royal Dr, Conway, AR 72034-7346
Phone
(501) 580-7670

Registered specialties (2)

Rehabilitation Practitioner Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT120 (AR)

Registry record

NPI
1891985438
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jul 2007
Record last updated
30 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.