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1619125671
CHARLES SHANE MEDLOCK
PENSACOLA, FL
NPI
1619125671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME8722)
Enumeration Date
2008-09-03
Last Update Date
2018-12-06
Business Address
CHARLES SHANE MEDLOCK MD
5153 N 9TH AVE STE 207
PENSACOLA, FL 32504-5705
Phone number: 850-416-5050
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Mailing Address
CHARLES SHANE MEDLOCK MD
PO BOX 2699
PENSACOLA, FL 32513-2699
Phone number: 850-416-5050
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