Organization
CHARLES S. GILES MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES STEPHEN GILES MD (PRESIDENT CEO)
(270) 384-6451
Entity
Organization
Contact information
Practice address
3066 CAMPBELLSVILLE RD, COLUMBIA, KY 42728-9511
(270) 384-6451
(270) 384-9100
Mailing address
3066 CAMPBELLSVILLE RD, COLUMBIA, KY 42728-9511
(270) 384-6451
(270) 384-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
KY
363L00000X
Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65932634 PHY
—
KY
05
—
7100305610 NP
—
KY
Enumeration date
06/15/2007
Last updated
11/18/2016
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