Individual
DR. CHARLES STEPHENS SCARBOROUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1238 DANTIGNAC ST, AUGUSTA, GA 30901-2788
(706) 922-0600
(706) 922-0603
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9442
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
67317
GA
208000000X
Pediatrics Physician
Primary
67317
GA
Other
Enumeration date
06/23/2009
Last updated
08/20/2024
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