NPI 1891985438
Charles S Davidson, MEDATCCSCSCEAS
Practice location
- Address
- 1930 Royal Dr, Conway, AR 72034-7346
- Phone
- (501) 580-7670
Registered specialties (2)
Rehabilitation Practitioner
Primary
Athletic Trainer
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.