Individual
DR. CHARLES DELBERT HOSEMANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 BURNEY DR, FLOWOOD, MS 39232-6621
(601) 987-8200
(601) 987-8211
Mailing address
PO BOX 30594, CHARLOTTE, NC 28230-0594
(601) 987-8200
(601) 987-8211
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21519
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
21519
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08271296
—
MS
Enumeration date
05/21/2007
Last updated
09/08/2019
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