Individual
MR. CHARLES ANTHONY PILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1338 GREENCLIFF DR, SOUTHAVEN, MS 38671-5950
(901) 652-7687
Mailing address
1338 GREENCLIFF DR, SOUTHAVEN, MS 38671-5950
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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