Organization
CHARRT,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE B WOOLLEN (PRESIDENT)
(706) 724-4045
Entity
Organization
Contact information
Practice address
191 CENTRE SOUTH BLVD, AIKEN, SC 29803-6313
(803) 642-4045
(803) 642-4041
Mailing address
820 SAINT SEBASTIAN WAY, SUITE 5A, AUGUSTA, GA 30901-2643
(706) 724-4045
(706) 724-4041
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
042002
GA
207RN0300X
Nephrology Physician
Primary
15566
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N06701
—
SC
Enumeration date
09/14/2006
Last updated
10/09/2007
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