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Individual

DR. CHARLES CHRISTIAN PAINE II

Active
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Individual

DR. CHARLES CHRISTIAN PAINE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T-2375
MS
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
22788
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03759341
MS
Enumeration date
07/02/2010
Last updated
10/03/2018
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