NPI 1063513141

Charles R Brent, MD

Practitioner Specialist Hattiesburg, MS

Practice location

Address: 1212 South 28th Ave, Hattiesburg, MS 39402
Phone: (601) 475-2430

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 09082 (MS)

Other Specialist providers in Mississippi →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 9082 (MS)

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Registry record

NPI: 1063513141
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 28 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.