Individual
DR. CHARLES WADE LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL ROAD, CHEROKEE, NC 28719
(828) 497-9163
(828) 497-1723
Mailing address
1 HOSPITAL ROAD, CHEROKEE, NC 28719
(828) 497-9163
(828) 497-1723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37594
GA
208000000X
Pediatrics Physician
37594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37594
STATE LICENCE
GA
Enumeration date
04/22/2013
Last updated
04/22/2013
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