Individual
DR. CHARLES ABAVAREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
Mailing address
1665 S GREEN ST, TUPELO, MS 38804-6556
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
T2395
MS
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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