Doctor Name: | CHARLES A PFAFF |
NPI Number: | 1033217583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 101473 |
Business Practice Address: | 4220 Sound Dr Morehead City, NC - 285572860 |
Business Phone Number: | 2527269423 |
Business Fax Number: | 2527260373 |
Mailing Address: | 4220 Sound Dr, MOREHEAD CITY |
State: | NC |
Postal Code: | 285572860 |
Phone Number: | 2527269423 |
Fax Number: | 2527260373 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 101473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |