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DR. CHARLES SAMUEL FILLINGANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
27 LAKE FORGETFUL APT 528, HATTIESBURG, MS 39402-8275
(601) 906-9389
Mailing address
1021 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 664-2424
(601) 664-6675

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11114
MS
207Q00000X
Family Medicine Physician
Primary
11114
MS

Other

Enumeration date
07/21/2006
Last updated
10/08/2019
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