Individual
DR. CHARLES D. SOUTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 ELM ST SW, ALBANY, OR 97321-1956
(541) 812-4850
(541) 812-4889
Mailing address
705 ELM ST SW, ALBANY, OR 97321-1956
(541) 812-4850
(541) 812-4889
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD07901
OR
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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