Individual
CHARLES STRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 BROAD AVE, SUITE 450, GULFPORT, MS 39501-2404
(228) 867-5012
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 867-5012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901583
MS
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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