CHARLES SHANE MEDLOCK

PENSACOLA, FL
NPI1619125671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: FL  ME8722)
Enumeration Date2008-09-03
Last Update Date2018-12-06
Business Address
CHARLES SHANE MEDLOCK MD
5153 N 9TH AVE STE 207
PENSACOLA, FL 32504-5705
Phone number: 850-416-5050
Mailing Address
CHARLES SHANE MEDLOCK MD
PO BOX 2699
PENSACOLA, FL 32513-2699
Phone number: 850-416-5050