Individual
CHARLIE PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
203 GREENE ST, CUMBERLAND, MD 21502-2877
(301) 777-0110
Mailing address
203 GREENE ST, CUMBERLAND, MD 21502-2877
(386) 846-2045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04024
MD
111N00000X
Chiropractor
12009
FL
111N00000X
Chiropractor
4613
OH
111N00000X
Chiropractor
Primary
S04024
MD
Other
Enumeration date
04/21/2016
Last updated
12/17/2024
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