# DR CHARLES L NAUSE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235398009
- **Authorized official:** DR. CHARLES L NAUSE JR. D.O. (PRESIDENT)
- **Authorized official phone:** (662) 453-5460

## Contact information

- **Practice address:** 110 E MARKET ST, GREENWOOD, MS 38930-4430
- **Practice address phone:** (662) 453-5460
- **Practice address fax:** (662) 453-5551
- **Mailing address:** 110 E MARKET ST, GREENWOOD, MS 38930-4430
- **Mailing address phone:** (662) 453-5460
- **Mailing address fax:** (662) 453-5551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11262 | MS | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008