Individual
CHARLES STEPHENSON HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1219 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 615-3350
(910) 321-6253
Mailing address
1638 OWEN DR, ATTN:MANAGED CARE PLANNING, FAYETTEVILLE, NC 28304-3424
(910) 651-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
96-01629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8940492
—
NC
Enumeration date
12/05/2006
Last updated
03/05/2015
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