Individual
DR. CHARLES GREGORY MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1438 W PEACHTREE ST NW, ATLANTA, GA 30309-2955
(470) 283-7349
(833) 689-2507
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110089
GA
Other
Enumeration date
09/20/2006
Last updated
11/20/2025
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