Individual
CHARLES A GERTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3675 J DEWEY GRAY CIRCLE, SUITE 300, AUGUSTA, GA 30909-1868
(706) 863-9595
(706) 860-7124
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 860-7124
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000857
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213PA
—
GA
05
—
100002356A
—
GA
Enumeration date
03/06/2006
Last updated
01/07/2010
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