Individual
DR. CHARLES ROBERT VITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2468 BROOKCLIFF WAY NE, ATLANTA, GA 30345-2002
(404) 325-5209
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
046001
GA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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