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Organization
DR CHARLES L NAUSE PA
Active
Organization
DR CHARLES L NAUSE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L NAUSE JR. D.O. (PRESIDENT)
(662) 453-5460
Entity
Organization
Contact information
Practice address
110 E MARKET ST, GREENWOOD, MS 38930-4430
(662) 453-5460
(662) 453-5551
Mailing address
110 E MARKET ST, GREENWOOD, MS 38930-4430
(662) 453-5460
(662) 453-5551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11262
MS
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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