CHARLES MANSON WYATT

FORT BRAGG, NC
NPI1063481018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  100493)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
Mr. CHARLES MANSON WYATT pa-c
M-48611 LOGISTICS AVE JOEL HEALTH CLINIC
FORT BRAGG, NC 28310-0001
Phone number: 910-907-9166
Mailing Address
Mr. CHARLES MANSON WYATT pa-c
2539 CAMERON WOODS LN
FAYETTEVILLE, NC 28306-7782
Phone number: 910-907-9116
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