Individual
CHARLES EDWARD TRANTHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
NAVAL HOSPITAL, CAMP LEJEUNE, NC 28540
(910) 450-7338
Mailing address
1053 BAXTER ST, JACKSONVILLE, NC 28540-3549
(910) 937-6663
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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