CHARLES EDWARD GIVENS

GULFPORT, MS
NPI1346421914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2007-11-23
Last Update Date2009-01-07
Business Address
MR. CHARLES EDWARD GIVENS IDC
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501-9007
Phone number: 228-871-2810
Mailing Address
MR. CHARLES EDWARD GIVENS IDC
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501-9007
Phone number: 228-871-2810