Individual
MR. CHARLES W. CAPPS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
515 S VICTORIA AVE, CLEVELAND, MS 38732-3738
(662) 402-1447
Mailing address
515 S VICTORIA AVE, CLEVELAND, MS 38732-3738
(662) 402-1447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN890049
MS
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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