Individual
CHARLES H SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JMM SUIT 2525, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
35090599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2782761
—
OH
Enumeration date
01/11/2007
Last updated
03/17/2018
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