NPI 1467160218
Charles Christian
Practice location
- Address
- 108 Wagner Rd, Bonifay, FL 32425-2923
- Phone
- (706) 681-3684
- Mailing address
- 92 Bradford St APT 4, Fort Walton Beach, FL 32547-1943
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1467160218
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Nov 2022
- Record last updated
- 10 Nov 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.