Charles R Brent is a Specialist in Hattiesburg, Mississippi. Charles R Brent practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles R Brent is 1063513141. The last update date is 2022-03-28.
Charles R Brent's current location address is 1212 South 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6014752430. The mailing address for Charles R Brent is 1212 South 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles R Brent |
|---|---|
| Address | 1212 South 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6014752430 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063513141 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2022-03-28 |
Provider Mailing Address Detail
| Address | 1212 South 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 39402 |
| Phone Number | 6014752430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9082 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113775 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles R Brent by the Centers for Medicare & Medicaid Services?
The Charles R Brent has been issued the NPI (National Provider Identifier) 1063513141, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles R Brent's physical address?
The Charles R Brent is physically located at 1212 South 28Th Ave, in the city of Hattiesburg, MS, with the postal code 39402.
On what date did the Charles R Brent receive its 1063513141 assignment from the Centers for Medicare & Medicaid Services?
The Charles R Brent was assigned its 1063513141 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the Charles R Brent's details last updated?
The information pertaining to the Charles R Brent, including its address, specialty, and other details, was most recently updated on 2022-03-28.
As of what date were the details related to Charles R Brent most recently updated or revised?
The information pertaining to Charles R Brent, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-28.
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