Individual
CHARLES RAY STRANGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 FRONTAGE DR W, WIGGINS, MS 39577-8165
(601) 716-8012
(601) 716-8013
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(256) 664-4280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903317
MS
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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