Organization
CHARLIE W. DEAN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE W DEAN MD (OWNER)
(770) 380-5472
Entity
Organization
Contact information
Practice address
107 WOODLAWN DR, PERRY, GA 31069-2394
(478) 333-2100
(478) 333-5201
Mailing address
107 WOODLAWN DR, PERRY, GA 31069-2394
(478) 333-2100
(478) 333-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
11/01/2012
Last updated
09/27/2019
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