Individual
DR. CHARLES CULLEY TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1294
Mailing address
406 AUDUBON WOODS, CANTON, MS 39046-8883
(601) 853-6926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2370-87
MS
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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