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Individual

CHARLES D MAGRUDER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
90 EMILY DR SW, LILBURN, GA 30047-5219
(770) 279-1644
Mailing address
90 EMILY DR SW, LILBURN, GA 30047-5219
(770) 279-1644

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
04-27960
KS

Other

Enumeration date
04/03/2006
Last updated
07/08/2007
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