Individual
MR. CHARLES EDWARD GIVENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 871-2810
Mailing address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 871-2810
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/23/2007
Last updated
01/07/2009
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