Individual provider · Type 1 NPI
Charles Ray Strange Iii
Family Nurse Practitioner · Wiggins, MS
NPI number
1164086716
Active
Practice location
1130 Frontage Dr W
Wiggins, MS 39577-8165
Fax (601) 716-8013
Mailing address
PO Box 1258
Waynesboro, TN 38485-1258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 903317 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1164086716
Charles Ray Strange Iii's National Provider Identifier is 1164086716, issued on Apr 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wiggins, MS. The record was last updated on Apr 30, 2019.