Individual
CHARLES SEVASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 OAK FOREST RD STE C, BLUFFTON, SC 29910-4974
(843) 815-3006
(843) 815-3737
Mailing address
836 E. 65TH STREET, SUITE 20, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004571S
OH
Other
Enumeration date
10/20/2005
Last updated
05/22/2019
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