Organization
CSRA NEUROLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G MCCLURE MD (PRESIDENT)
(706) 722-8817
Entity
Organization
Contact information
Practice address
1303 DANTIGNAC ST, SUITE 2800, AUGUSTA, GA 30901-2775
(706) 722-8817
(706) 722-3315
Mailing address
1303 DANTIGNAC ST, SUITE 2800, AUGUSTA, GA 30901-2775
(706) 722-8817
(706) 722-3315
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
06/21/2018
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