Individual
DR. CHARLES HUGHES PENN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FT STEWART, GA 31314
(912) 435-5515
Mailing address
1061 HARMON AVE, STE 1D03, FT STEWART, GA 31314
(912) 435-5515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
026911
GA
Other
Enumeration date
07/19/2005
Last updated
10/08/2010
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