Individual
CHARLES LANIER HALCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT, RMP
Contact information
Practice address
110 S PACA ST, SUITE 300 RM 03-028, BALTIMORE, MD 21201-1642
(410) 328-7706
(410) 328-7549
Mailing address
22 SOUTH GREEN STREET, T4M14 USAF CSTARS, BALTIMORE, MD 21201
(410) 328-7706
(410) 328-7549
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P8021361
—
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
10/10/2013
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