Individual
DR. CHARLES SEMONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 N CHURCH ST, HOMERVILLE, GA 31634-2452
(912) 487-1737
(912) 487-1739
Mailing address
380 N CHURCH ST, HOMERVILLE, GA 31634-2452
(912) 487-1737
(912) 487-1739
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036-064564
IL
207Q00000X
Family Medicine Physician
Primary
051737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064564-1
—
IL
01
—
05721369
BC/BS
IL
Enumeration date
06/09/2006
Last updated
03/17/2018
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