Individual
GREGORY L. CHARLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3645 HIGH GREEN DR, MARIETTA, GA 30068-2530
(650) 281-1297
Mailing address
3645 HIGH GREEN DR, MARIETTA, GA 30068-2530
(650) 281-1297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
89911
GA
207L00000X
Anesthesiology Physician
Primary
A76196
CA
207L00000X
Anesthesiology Physician
S9275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A761960
—
CA
Enumeration date
11/01/2006
Last updated
11/02/2021
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