CHARLES A KERGOSIEN

BROOKHAVEN, MS
NPI1619087541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  15445)
Enumeration Date2006-08-30
Last Update Date2013-01-18
Business Address
-- CHARLES A KERGOSIEN M.D.
527 SILVER CROSS DR
BROOKHAVEN, MS 39601-2388
Phone number: 601-835-0507
Mailing Address
-- CHARLES A KERGOSIEN M.D.
PO BOX 4177
BROOKHAVEN, MS 39603-6177
Phone number: 601-835-0507
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