Individual
DR. ABIGAIL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 444-0963
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 444-0963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301115800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301502832
PERMANENT MEDICAL LISCENSE
MI
01
—
5315220454
CONTROLLED SUBSTANCE LISCENSE
MI
Enumeration date
06/12/2018
Last updated
03/07/2023
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