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Individual

DR. CHARLES M HARDEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 N GROSS RD STE 201, KINGSLAND, GA 31548-6277
(912) 729-2795
(912) 729-4117
Mailing address
130 N GROSS RD STE 201, KINGSLAND, GA 31548-6277
(912) 729-2795
(912) 729-4117

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
044930
GA
208D00000X
General Practice Physician
Primary
044930
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000799345D
GA
01
206395
BLUE CROSS
GA
Enumeration date
02/20/2006
Last updated
08/16/2022
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