Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES RANDOLPH HEWITT III
Active Sole ProprietorSports Dietetics · APO, AA
Registration Details
- NPI Number
- 1316612906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2021 (4.6829791574395 yrs)
- Last Updated
- Aug 16, 2021
- License
-
2021 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
71 MEDICAL GROUPAPO, AA, 73705Browse AA providers · Browse ZIP 73705
- Phone
- 5802136751
- Primary Specialty
-
Sports Dietetics
133VN1501X
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.