Individual provider · Type 1 NPI

Charles Benjamin Furlan Jr., MD

Student in an Organized Health Care Education/Training Program · Gulfport, MS

NPI number 1073209656 Active

Practice location

4500 13th St
Gulfport, MS 39501-2515

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073209656

Charles Benjamin Furlan Jr., MD's National Provider Identifier is 1073209656, issued on Apr 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gulfport, MS. The record was last updated on Apr 17, 2023.