Individual
MR. CHARLES JOSEPH BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.C.
Contact information
Practice address
100 JOHN MADDOX DR NW, ROME, GA 30165-1431
(706) 235-3033
(706) 295-7993
Mailing address
100 JOHN MADDOX DR, ROME, GA 30165
(706) 235-3033
(706) 295-7993
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
17130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000132613A
—
GA
Enumeration date
07/26/2006
Last updated
02/15/2011
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