Individual
CHARLES ALUMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 LAKE LOOP, PETAL, MS 39465-9002
(601) 549-4714
Mailing address
9 LAKE LOOP, PETAL, MS 39465-9002
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
MRT1712
MS
2471C3401X
Computed Tomography Radiologic Technologist
Primary
MRT1712
MS
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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