Individual provider · NPI-1
Charles Alumbaugh
Radiologic Technologist, Computed Tomography · Petal, MS
NPI number1922497387
StatusActive
Last updated in NPPESJan 22, 2015
Details
- NPI
- 1922497387
- Entity type
- Individual (NPI-1)
- Name
- Charles Alumbaugh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2015
- Last updated
- Jan 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3401X | Radiologic Technologist, Computed Tomography | MRT1712 | MS | Yes |
| 247100000X | Radiologic Technologist | MRT1712 | MS |
Practice location
9 Lake LoopPetal, MS 39465-9002
Phone 601-549-4714
Mailing address
9 Lake LoopPetal, MS 39465-9002
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