Individual provider · NPI-1

Dr. Charles Delbert Hosemann III, MD

Orthopaedic Surgery · Flowood, MS

NPI number1114136751
StatusActive
Last updated in NPPESSep 8, 2019

Details

NPI
1114136751
Entity type
Individual (NPI-1)
Name
Dr. Charles Delbert Hosemann III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2007
Last updated
Sep 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery21519MSYes
207XX0005X Orthopaedic Surgery, Sports Medicine21519MS

Practice location

104 Burney Dr
Flowood, MS 39232-6621

Phone 601-987-8200 · Fax 601-987-8211

Mailing address

Po Box 30594
Charlotte, NC 28230-0594

Phone 601-987-8200 · Fax 601-987-8211

Other practice locations

106 Highland Way Ste 102
Madison, MS 39110-6933

Phone 601-987-8200

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