Individual
CHARLES PHILLIP DE JARNETTE
Active
Individual
CHARLES PHILLIP DE JARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
024925
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142005
BCBSGA (NSC)
GA
01
—
714223
BCBSGA (AMC)
GA
01
—
P00184620
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
02/19/2008
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