Individual
DR. CHARLES L BRAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 OGLETHORPE AVE STE 3400, ATHENS, GA 30606
(706) 613-6080
(706) 613-6562
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(470) 271-3418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030726
GA
208000000X
Pediatrics Physician
030726
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000370345E
—
GA
Enumeration date
07/03/2006
Last updated
07/27/2018
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