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Individual

CHARLES K AGUNOBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3099 BRECKINRIDGE BLVD STE 110, DULUTH, GA 30096-1011
(678) 242-8035
(678) 373-1645
Mailing address
3099 BRECKINRIDGE BLVD STE 110, DULUTH, GA 30096-1011
(678) 242-8035
(678) 373-1645

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38161
GA
207R00000X
Internal Medicine Physician
9400694
NC
208M00000X
Hospitalist Physician
20751
SC
208M00000X
Hospitalist Physician
9400694
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8910429
NC
05
N0069A
SC
Enumeration date
10/06/2005
Last updated
07/14/2021
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