Charles Randle Dishongh in Greenville - Specialist

Charles Randle Dishongh - NPI 1407948946

Charles Randle Dishongh is a Specialist in Greenville, Mississippi. Charles Randle Dishongh practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles Randle Dishongh is 1407948946. The last update date is 2007-07-08.

Charles Randle Dishongh's current location address is P. O. Box 4618, Greenville, Mississippi. You can contact this provider via phone number 6623351621 and fax number 6623358128. The mailing address for Charles Randle Dishongh is P. O. Box 4618, Greenville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Randle Dishongh
Address P. O. Box 4618, Greenville, Mississippi
Phone Number 6623351621
Fax Number 6623358128
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1407948946
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address P. O. Box 4618
City Greenville
State Mississippi (MS)
Post Code 387014618
Phone Number 6623351621
Fax Number 6623358128

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 7645
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Charles Randle Dishongh

What is the Charles Randle Dishongh's 1407948946?

The Charles Randle Dishongh's NPI (National Provider Identifier) Number is 1407948946. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Charles Randle Dishongh is physically located?

The Charles Randle Dishongh is physically situated at the following address: P. O. Box 4618, Greenville, MS, 387014618.

What is Charles Randle Dishongh's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles Randle Dishongh is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did Charles Randle Dishongh receive its 1407948946 assignment from the Centers for Medicare & Medicaid Services?

The Charles Randle Dishongh was assigned its 1407948946 on 2006-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charles Randle Dishongh, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Randle Dishongh, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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