Individual
MR. CHARLES JOSEPH HORTMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 W JOHNSTON ST STE B, FORSYTH, GA 31029-2156
(478) 922-9969
Mailing address
91 W JOHNSTON ST STE B, FORSYTH, GA 31029-2156
(478) 922-9969
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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