Individual
CHARLES KITCHENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 BOULEVARD NE, ATLANTA, GA 30312-4205
(404) 265-4400
Mailing address
236 N TATTNALL ST, MILLEDGEVILLE, GA 31061-3243
(478) 251-9153
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN203522
GA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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