Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES SHANE MEDLOCK, MD
ActiveCHARLES SHANE MEDLOCK, MD is a Obstetrics & Gynecology healthcare provider located in PENSACOLA, Florida. NPI 1619125671 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · PENSACOLA, FL
Registration Details
- NPI Number
- 1619125671
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2008 (17.94144602452 yrs)
- Last Updated
- Dec 6, 2018
- License
-
ME8722 (FL)
Practice Information
- Address
-
5153 N 9TH AVE STE 207PENSACOLA, FL, 325045705Browse FL providers · Browse ZIP 32504
- Phone
- 8504165050
- Fax
- 8504165022
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in PENSACOLA, FL
| Name | Credential | NPI |
|---|---|---|
| DR. EDITHA BIELITZ | M.D. | 1154328417 |
| WILLIAM MARC BOYD JR. | D.O., M.D. | 1770581456 |
| PAMELA J HYDE | D.O. | 1295733632 |
| EMILIO A. ANTONETTI | MD | 1245226208 |
| TRACEY ANN THOMAS-DOYLE | M.D. | 1427046929 |
| SUZANNE YANCEY BUSH | MD | 1760471239 |
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.