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Individual

DR. CHARLES GRAYSON GUYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
217 STATION ST, JACKSONVILLE, NC 28546-6304
(910) 353-1461
(910) 353-1461
Mailing address
217 STATION STREET, JACKSONVILLE, NC 28546
(910) 353-1461
(910) 353-1461

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0694
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000167
NC
Enumeration date
12/19/2005
Last updated
06/27/2008
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