Individual
MR. CHARLES MATTHEW HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R)(MR)
Contact information
Practice address
2211 5TH ST STE 117, MERIDIAN, MS 39301-5845
(601) 621-4522
Mailing address
PO BOX 597, QUITMAN, MS 39355-0597
(601) 604-7107
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
510305
MS
Other
Enumeration date
01/28/2021
Last updated
04/29/2025
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