IndividualActive
Charles Nause, DO
NPI 1154316008 · Family Medicine Physician · Greenwood, MS
Provider details
- NPI number
- 1154316008
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11262 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
110 E Market St
Greenwood, MS 38930-4430
Phone: (662) 453-5460
Fax: (662) 453-5551
Approximate (ZIP-level) locationGet directions
Mailing address
110 E Market St
Greenwood, MS 38930-4430
Registry dates
- Enumerated
- 2005-09-16
- Last updated
- 2017-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.