MR. Charles Manson Wyatt, PA-C
NPI #1063481018 in Fort Bragg, North Carolina
Provider Information
- NPI Number
- 1063481018
- Entity Type
- Individual
- Name
- MR. Charles Manson Wyatt, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- M-48611 LOGISTICS AVE
- Address 2
- JOEL HEALTH CLINIC
- City
- Fort Bragg
- State
- North Carolina
- ZIP Code
- 28310-0001
- Phone
- (910) 907-9166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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