Individual
DR. CHARLES EDWARD MIDDLETON III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1061 HARMON AVE, DEPARTMENT ORAL AND MAXILLOFACIAL SURGERY, FT STEWART, GA 31314-5604
(912) 435-6248
Mailing address
4869 SPRING RIDGE DR, COLUMBUS, GA 31909-2049
(706) 575-5671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17155
TX
Other
Enumeration date
07/18/2005
Last updated
07/08/2007
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