Individual provider · Type 1 NPI

Charlotte Davis

Meals Provider · Frisco City, AL

NPI number 1104708817 Active

Practice location

1705 Shiloh Rd
Frisco City, AL 36445-5006

Mailing address

PO Box 42
Frisco City, AL 36445-0042

Specialties and licenses

TaxonomyCodeLicense
Meals Provider Primary 174200000XNone listed

Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

About NPI 1104708817

Charlotte Davis's National Provider Identifier is 1104708817, issued on Jul 23, 2025. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Frisco City, AL. The record was last updated on Jul 23, 2025.