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Individual

CHARLES R HAENDEL

Active
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Individual

CHARLES R HAENDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD000583
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000583
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000377869G
GA
01
024633
BC
GA
01
0575829
AETNA
GA
Enumeration date
12/05/2005
Last updated
04/18/2014
About Stedi
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