Individual
CHARLES BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5868 FAIRINGTON FARMS LN, LITHONIA, GA 30038-1544
(770) 985-4257
(770) 985-4258
Mailing address
5868 FAIRINGTON FARMS LN, LITHONIA, GA 30038-1544
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
84589
GA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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