Individual
DR. CHARLES BARTHOLOMEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2385 WALL STREET, WALL STREET EXECUTIVE SUITES, CONYERS, GA 30013
(770) 820-3181
Mailing address
2612 COUNTRY CLUB DR SE, CONYERS, GA 30013-4913
(770) 820-3181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1422
GA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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