Individual
MR. CHARLES MITCHELL SHOFNER
Active
Individual
MR. CHARLES MITCHELL SHOFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1912563594
IN
208000000X
Pediatrics Physician
1912563594
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
05/19/2019
Last updated
07/08/2025
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