Individual
CHARLES OGUNDARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 BERKLEIGH TRAILS DR, HIRAM, GA 30141-4152
(678) 595-2060
Mailing address
496 BERKLEIGH TRAILS DR, HIRAM, GA 30141-4152
(678) 595-2060
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP043855
GA
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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