Individual
DR. CHARLES GETTYS MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 WALTON WAY, SUITE 4500, AUGUSTA, GA 30901-5104
(706) 722-8817
(706) 722-3956
Mailing address
818 SAINT SEBASTIAN WAY 408, AUGUSTA, GA 30901-2654
(706) 722-9075
(706) 722-7049
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
017630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000110261F
—
GA
05
—
906737
—
SC
Enumeration date
12/21/2006
Last updated
10/08/2015
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