# EMMANUELLE C CHARLES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598996100
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 005291 | GA | Yes |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 04/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003116541B | — | GA |
| 05 | — | 003116541C | — | GA |
| 05 | — | 003116541D | — | GA |
| 05 | — | 003116541E | — | GA |
| 05 | — | 003116541G | — | GA |
