Individual
DR. CHARLES SPENCER TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
008285
GA
207RI0200X
Infectious Disease Physician
Primary
81733
SC
Other
Enumeration date
06/01/2016
Last updated
01/13/2022
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