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Charles Ray Strange III
Family Nurse Practitioner in Wiggins, Mississippi
NPI 1164086716

Charles Ray Strange III is a Family Nurse Practitioner based in Waynesboro, MS and is specialized in Family. Charles Ray Strange III practices in Wiggins, MS. The NPI Number for Charles Ray Strange III is 1164086716 and holds a License No. 903317 (Mississippi).

The current practice location address for Charles Ray Strange III is 1130 Frontage Dr W, Wiggins, MS and can be reached out via phone at 601-716-8012 and via fax at 601-716-8013.

Location: 1130 Frontage Dr W, Wiggins, MS, 38485-1258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164086716
Provider Name
Charles Ray Strange III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1130 Frontage Dr W, Wiggins, MS, 38485-1258
Phone Number
601-716-8012
Fax Number
601-716-8013
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1130 Frontage Dr W
City
Wiggins
State
Mississippi
Zip
39577-8165
Phone Number
601-716-8012
Fax Number
601-716-8013
person
Provider Business Mailing Address Details
Address
1130 Frontage Dr W
City
Wiggins
State
Mississippi
Zip
39577-8165
Phone Number
601-716-8012
Fax Number
601-716-8013
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
903317 (Mississippi)
Definition
Definition to come...
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