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Individual
MR. CHARLES MATTHEW HANEY
Active
Individual
MR. CHARLES MATTHEW HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R)(MR)
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
510305
MS
Other
Enumeration date
01/28/2021
Last updated
04/29/2025
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