Individual
CHARLESTON FAGLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD, BLDG 9250, FT MOORE, GA 31905
(409) 771-2286
Mailing address
MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD, BLDG 9250, FT MOORE, GA 31905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1370634
TX
Other
Enumeration date
10/29/2021
Last updated
01/12/2024
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