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Individual

DR. CHARLES STANTON NEWMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
299 HWY 90 EAST, BAY ST LOUIS, MS 39520
(228) 467-1020
(228) 467-7258
Mailing address
299 HWY 90 EAST, BAY ST LOUIS, MS 39520
(228) 467-1020
(228) 467-7258

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
524
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9013468
MS
Enumeration date
09/26/2006
Last updated
07/08/2007
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