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Individual

CHARLES MATTHEW HUEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7900 AIRWAYS BLVD BLDG A, SUITE 2, SOUTHAVEN, MS 38671-4113
(662) 536-4096
(662) 536-4099
Mailing address
7900 AIRWAYS BLVD, BUILDING A, SUITE 2, SOUTHAVEN, MS 38671
(662) 536-4096
(662) 536-4099

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5236
MS
225100000X
Physical Therapist
8734
TN

Other

Enumeration date
09/13/2010
Last updated
07/21/2022
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