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Individual

CHARLES HENRY NASH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 718-1877
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
048068
GA
207RX0202X
Medical Oncology Physician
Primary
048068
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000847547A
GA
05
000847547B
GA
01
10044870
AMERIGROUP
GA
01
110231727
RR MEDICARE-GRP # CC4177
GA
01
329963
WELLCARE
GA
01
3600016
UNITED HEALTHCARE
GA
01
3780410
CIGNA
GA
01
52668899
BCBS
GA
Enumeration date
01/20/2006
Last updated
03/07/2019
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