MEDICARE: DR. CHARLES SAMUEL FILLINGANE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	11114	MS
2	207Q00000X	Family Medicine Physician	11114	MS

General Provider Information

NPI Number	:	1346261195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES SAMUEL FILLINGANE DO

Provider Business Mailing Address
First Line	:	1021 N FLOWOOD DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9533
Country	:	US
Telephone Number	:	601-664-2424
Fax Number	:	601-664-6675

Provider Business Practice Location Address
First Line	:	27 LAKE FORGETFUL APT 528
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-8275
Country	:	US
Telephone Number	:	601-906-9389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	10/08/2019

Similar Medicare Providers

1013752955 — BLAKE EDWIN BOLEWARE
Practice Location Address:

5001 HARDY ST
HATTIESBURG, MS
39402-1308

Practice Phone: 601-268-8000
Practice Fax:

1801310768 — HATTIESBURG CLINIC, PA
Practice Location Address:

5909 HWY 49 S , SUITE 14
HATTIESBURG, MS
39402-2860

Practice Phone: 601-296-2960
Practice Fax: 601-296-2961

1891637872 — KAYLA SHEA ROGERS
Practice Location Address:

6156 U S HIGHWAY 98 STE 70
HATTIESBURG, MS
39402-8155

Practice Phone: 601-336-7155
Practice Fax:

1649112442 — ROYALTY CARE & TRANSPORT LLC
Practice Location Address:

5004 LINCOLN ROAD EXT STE 90
HATTIESBURG, MS
39402-8111

Practice Phone: 601-439-2432
Practice Fax:

1205620341 — DR. DARAB SHUJA HANJRA MD
Practice Location Address:

5001 HARDY ST
HATTIESBURG, MS
39402-1308

Practice Phone: 601-268-8000
Practice Fax:

1841158961 — THERAPY WITH KENS, LLC
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 769-304-6771
Practice Fax: 769-216-1553

Directions to “ DR. CHARLES SAMUEL FILLINGANE DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.