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Organization

CHARLES D. SCARBOROUGH M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES D SCARBOROUGH M.D. (PHYSICIAN)
(904) 259-2725
Entity
Organization

Contact information

Practice address
31 SOUTH 5TH STREET, MACCLENNY, FL 32063-2301
(904) 259-2725
(904) 259-2907
Mailing address
31 SOUTH 5TH STREET, MACCLENNY, FL 32063-2301
(904) 259-2725
(904) 259-2907

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME018474
FL

Other

Enumeration date
09/16/2008
Last updated
09/16/2008
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