Individual
MR. CHARLES C INGLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1610 N QUEEN ST, KINSTON, NC 28501-2947
(252) 522-1960
(252) 522-3298
Mailing address
PO BOX 1387, GRIFTON, NC 28530-1387
(252) 524-4935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297548
MAMSI
NC
01
—
4524A
BCBS
NC
05
—
724524A
—
NC
01
—
A7962
MEDCOST
NC
Enumeration date
02/28/2006
Last updated
07/08/2007
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