Sledge, Charles Chapman
Sledge, Charles Chapman is an individual health care provider with primary practice located at 1 Lincoln Parkway Suite 202 , Hattiesburg MS 39402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Sledge, Charles Chapman can be contacted via phone (601) 288-8050.Contact Information
Primary practice address
1 Lincoln Parkway Suite 202
Hattiesburg MS 39402
Phone: (601) 288-8050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 10339 | Mississippi |
Profile Details
| NPI number | 1881638732 |
|---|---|
| LBN Legal business name | Sledge, Charles Chapman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881638732 | NPPES |
| Mississippi | MEDICAID | 00122584 |
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