Individual
DESIREE LA CHARITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5469
Mailing address
2950 MOUNT WILKINSON PKWY SE, #604, ATLANTA, GA 30339-3637
(608) 829-5201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
062132
GA
207P00000X
Emergency Medicine Physician
43170
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34114500
—
WI
05
—
619228407E
—
GA
05
—
6192287407C
—
GA
Enumeration date
02/28/2006
Last updated
10/13/2009
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