Individual
DR. CHRISTOPHER CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
300 RAWLS DR, MCCOMB, MS 39648-2852
(601) 684-7623
(601) 684-7247
Mailing address
300 RAWLS DR, MCCOMB, MS 39648-2852
(601) 684-7623
(601) 684-7247
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18581
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09730307
—
MS
05
—
1784940
—
LA
Enumeration date
11/09/2005
Last updated
09/20/2011
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