Individual
SAVANNAH CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8138 FIRESIDE DR, PLAIN CITY, OH 43064-3800
(937) 541-6121
Mailing address
8138 FIRESIDE DR, PLAIN CITY, OH 43064-3800
(937) 541-6121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
518723
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0036992
OH
Other
Enumeration date
03/15/2024
Last updated
11/07/2024
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