person
Mr. Charles Edward Middleton IV
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1275030702

Charles Edward Middleton IV is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Charles Edward Middleton IV practices in Jackson, MS. The NPI Number for Charles Edward Middleton IV is 1275030702 and holds a License No. (Mississippi).

The current practice location address for Charles Edward Middleton IV is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000.

Location: 2500 N State St, Jackson, MS, 39216-3108
person
Provider Profile Details
NPI Number
1275030702
Provider Name
Charles Edward Middleton IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-3108
Phone Number
601-984-1000
Fax Number
Provider Enumeration Date
04/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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