Individual
CHARLIE JOE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP, CCP
Contact information
Practice address
1640 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1538
(954) 939-0274
(954) 337-0760
Mailing address
4305 SANGO RD, CLARKSVILLE, TN 37043-7307
(931) 624-0020
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
167
TN
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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