Individual
CHARLES CHACHA MAROA BABERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 VININGS DR, MCDONOUGH, GA 30253-5994
(770) 302-6780
Mailing address
248 FANNIN LN, MCDONOUGH, GA 30252-5035
(404) 452-9177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89515
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
09/23/2021
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