Individual
DR. CHARLES THOMAS HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8045 PROVIDENCE RD, SUITE 300, CHARLOTTE, NC 28277-8745
(704) 341-9600
(704) 341-9996
Mailing address
8045 PROVIDENCE RD, STE 300, CHARLOTTE, NC 28277-8915
(704) 341-9600
(704) 341-9996
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
31034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8944546
—
NC
Enumeration date
08/21/2006
Last updated
04/10/2024
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