Individual
MR. CHARLES D ONEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
376 POWDER SPRINGS ST STE 140, MARIETTA, GA 30064-3448
(678) 691-2206
Mailing address
376 POWDER SPRINGS ST, MARIETTA, GA 30064-3454
(678) 691-2206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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