Individual
CHRIS CHARLES CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901-0617
(706) 724-5451
(706) 724-9562
Mailing address
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901-0617
(706) 724-5451
(706) 724-9562
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G45051
—
SC
Enumeration date
09/08/2005
Last updated
01/08/2024
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