Charles D Davidson (NPI# 1457425902, PAC ID# 5890771828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457425902 |
| PAC ID by PECOS | 5890771828 |
| Professional Enrollment ID | I20100624000848 |
| Full Name | Charles D Davidson |
| Organization Legal Name | LAWRENCE COUNTY FAMILY CLINIC, PA |
| Address |
1210 W Main Walnut Ridge AR 72476-1005 |
| Phone Number | 8708863543 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557347572 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041309 | LAWRENCE MEMORIAL HOSPITAL |
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1210 W Main, Walnut Ridge, AR 72476-1005 | 8708863543 | LAWRENCE COUNTY FAMILY CLINIC, PA |
| Organization Legal Name | LAWRENCE COUNTY FAMILY CLINIC, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra L Hunter | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Shawn Peyton | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Clay R Spencer | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Sebastian A Spades | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Street Address |
1210 W MAIN |
| City | WALNUT RIDGE |
| State | AR |
| Zip | 72476-1005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra L Hunter | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Shawn Peyton | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Clay R Spencer | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Sebastian A Spades | Family Medicine | Lawrence County Family Clinic, Pa | 1210 W Main, Walnut Ridge, AR 72476-1005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly G Ross | Optometry | Kelly G Ross Od Pa | 1014 W Main St, Walnut Ridge, AR 72476-0349 |
| Stephanie N Duffel | Nurse Practitioner | Nea Reliant Healthcare Professionals Inc | 1045 W Main St C, Walnut Rdg Fam Med Clin, Walnut Ridge, AR 72476-1004 |
| Kimberly Ann Slusser | Certified Clinical Nurse Specialist (cns) | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| Tami L Bell | Nurse Practitioner | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| Rebecca P Phillips | Family Medicine | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| Melissa Ann Carter | Nurse Practitioner | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| Carrie Theresa Hunter | Family Medicine | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| Stacy E Gibson | Family Medicine | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| William Alexander Burns | Nurse Practitioner | 1st Choice Healthcare Inc | 201 Colonial Dr, Walnut Ridge, AR 72476-1410 |
| Kevin M Diamond | Family Medicine | Lawrence Memorial Health Foundation Inc | 1309 W Main St, Walnut Ridge, AR 72476-1430 |
| Find all physicians in zip 72476 | |||
| City | WALNUT RIDGE |
| Zip Code | 72476 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WALNUT RIDGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles D Davidson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.