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Individual

CHARLES B NEMEROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(512) 495-5728
(512) 495-5482
Mailing address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(512) 495-5728
(512) 495-5482

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
034916
GA
2084P0800X
Psychiatry Physician
Primary
ME 108139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000474988E
GA
05
2228500
FL
Enumeration date
11/07/2007
Last updated
08/12/2020
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