Individual
MR. CHARLES KENJI CARRAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504-8771
(850) 474-9995
(850) 477-6021
Mailing address
5548 CHARBAR DR, PENSACOLA, FL 32526-6502
(850) 474-9995
(850) 477-6021
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106937
FL
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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