Individual
KEVIN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
302570
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
302570
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
82582
GA
207RP1001X
Pulmonary Disease Physician
82582
GA
Other
Enumeration date
05/18/2013
Last updated
02/22/2023
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