# CHARLIE W. DEAN, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639423320
- **Authorized official:** CHARLIE W DEAN MD (OWNER)
- **Authorized official phone:** (770) 380-5472

## Contact information

- **Practice address:** 107 WOODLAWN DR, PERRY, GA 31069-2394
- **Practice address phone:** (478) 333-2100
- **Practice address fax:** (478) 333-5201
- **Mailing address:** 107 WOODLAWN DR, PERRY, GA 31069-2394
- **Mailing address phone:** (478) 333-2100
- **Mailing address fax:** (478) 333-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | GA | Yes |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 09/27/2019