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Individual

CHARLES RAY TRENTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 RIVERVIEW STREET, FRANKLIN, NC 28744
(828) 524-8411
Mailing address
72 E MCNAB RD PMB 60, POMPANO BEACH, FL 33060-9238
(954) 545-0337
(954) 545-3497

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132GA
BLUE CROSS
NC
05
891374J
NC
01
P00276285
RAILROAD MEDICARE
NC
Enumeration date
07/20/2006
Last updated
07/08/2007
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