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Individual

DR. CHARLES GRAY HAISLIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1842
WV

Other

Enumeration date
10/14/2005
Last updated
11/17/2025
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