Individual
CHARLES R HAENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 WHITCHER ST NE, STE 450, MARIETTA, GA 30060-1155
(770) 590-4188
(770) 590-4189
Mailing address
55 WHITCHER ST NE, STE 450, MARIETTA, GA 30060-1155
(770) 590-4188
(770) 590-4189
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD000583
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000377869G
—
GA
01
—
024633
BC
GA
01
—
0575829
AETNA
GA
Enumeration date
12/05/2005
Last updated
04/18/2014
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