Individual
CHARLES CONNOR SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1710 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
(317) 528-4800
(317) 865-1479
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000119A
IN
Other
Enumeration date
12/14/2022
Last updated
01/15/2025
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