Individual
CHARLIE HUMPHRIES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 NORTH JEFFERSON ST, ALBANY, GA 31701
(229) 883-8602
(229) 883-8604
Mailing address
802 NORTH JEFFERSON ST, ALBANY, GA 31701
(229) 883-8602
(229) 883-8604
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15675
GA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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