Individual
CHARLES L JOACHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 BRIDGETON CT, WILMINGTON, NC 28411-8600
(910) 681-1262
Mailing address
309 BRIDGETON CT, WILMINGTON, NC 28411-8600
(910) 681-1262
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19971
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199715
—
SC
01
—
20-19971
CONTROLLED SUBSTANCE
SC
Enumeration date
06/28/2006
Last updated
03/07/2023
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