CHARLES STRANGE

GULFPORT, MS
NPI1396299590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  901583)
Enumeration Date2016-08-05
Last Update Date2016-08-05
Business Address
-- CHARLES STRANGE
1340 BROAD AVE SUITE 450
GULFPORT, MS 39501-2404
Phone number: 228-867-5012
Mailing Address
-- CHARLES STRANGE
PO BOX 1810
GULFPORT, MS 39502-1810
Phone number: 228-867-5012