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Individual

MR. CHARLES D GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
840 PINE ST, MACON, GA 31201-2100
(478) 633-8060
(478) 633-4080
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
83233
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/17/2013
Last updated
09/23/2019
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