Charles R Brent MD

NPI 1063513141 - Specialist - 174400000X

NPI Details
NPI 1063513141
Gender Male
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 LINCOLN PKWY
STE 300
HATTIESBURG MS, 39402-3262, US
Phone (601) 579-4440
Fax
Business Location
1 LINCOLN PKWY
STE 300
HATTIESBURG MS, 39402-3262, US
Phone (601) 579-4440
Fax
Toxanomy
Taxonomy Code 174400000X
License State Mississippi
License Number 09082
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According to our database, Charles R Brent MD NPI is 1063513141, taxonomy code is 174400000X and license number is 09082, license state is located at Mississippi. Charles R Brent MD physically located at 1 Lincoln Pkwy, Hattiesburg MS, 39402-3262. NPI Number Charles R Brent MD has the Individual type.

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1063513141 NPI number is provided on an as is basis without warranty of any kind. 1063513141 is maintained by the National Plan & Provider Enumeration System. The contents of Charles R Brent MD are for informational purposes only.