Individual
CHARLES F. GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 PALMYRA RD, SUITE 101, ALBANY, GA 31701
(229) 889-9367
(229) 317-0678
Mailing address
2601 STUART AVE, ALBANY, GA 31707-1664
(229) 405-8900
(229) 405-8901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000328732C
—
GA
01
—
AG2859897
RR MEDICARE
GA
Enumeration date
09/21/2005
Last updated
07/13/2018
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