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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES MANSON WYATT, PA-C

Active

MR. CHARLES MANSON WYATT, PA-C is a Medical Physician Assistant healthcare provider located in FORT BRAGG, North Carolina. NPI 1063481018 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FORT BRAGG, NC

Registration Details

NPI Number
1063481018
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2006 (20.23287350428 yrs)
Last Updated
Jul 8, 2007
License
100493 (NC)

Practice Information

Address
M-48611 LOGISTICS AVE
JOEL HEALTH CLINIC
FORT BRAGG, NC, 283100001
Browse NC providers · Browse ZIP 28310
Phone
9109079166
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FORT BRAGG, NC

Name Credential NPI
CHRISTOPHER BRITT DOMINGUEZ PA-C 1851384770
MRS. ERIN NICOLE TRENT PA-C 1053301069
GERALD DOUGLAS DEPOLD 1245217900
MR. JERRY LYNN JOHNSTON PA-C 1609849835
MR. ROBERT JAMES OYLER PA-C 1679542955
MR. DAVID W. MYERS PA-C 1760443071
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.