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Charles Thomas Mansour, MD
Student in an Organized Health Care Education/Training Program in Fairhope, Alabama
NPI 1629711700

Charles Thomas Mansour is a Student in an Organized Health Care Education/Training Program based in Fairhope, AL. Charles Thomas Mansour practices in Fairhope, AL and has the professional credentials of MD. The NPI Number for Charles Thomas Mansour is 1629711700 and holds a License No. (Alabama).

The current practice location address for Charles Thomas Mansour is 188 Hospital Dr Ste 402, Fairhope, AL and can be reached out via phone at 251-279-1245.

Location: 188 Hospital Dr Ste 402, Fairhope, AL, 36532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629711700
Provider Name
Charles Thomas Mansour
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
188 Hospital Dr Ste 402, Fairhope, AL, 36532
Phone Number
251-279-1245
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 01 AL NA
institution
Provider Business Practice Location Address Details
Address
188 Hospital Dr Ste 402
City
Fairhope
State
Alabama
Zip
36532-2018
Phone Number
251-279-1245
Fax Number
person
Provider Business Mailing Address Details
Address
188 Hospital Dr Ste 402
City
Fairhope
State
Alabama
Zip
36532-2018
Phone Number
251-279-1245
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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