Organization
CHARLTON FAMILY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGED EDWARD ABDELMALIK M.D. (PRESIDENT)
(917) 288-6765
Entity
Organization
Contact information
Practice address
190 AUSTIN RYAN DR, KINGSLAND, GA 31548-6191
(917) 288-6765
Mailing address
190 AUSTIN RYAN DR, KINGSLAND, GA 31548-6191
(917) 288-6765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55077
GA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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