Individual
MR. RICHARD ST. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3820 MEDICAL PARK DRIVE, AUSTELL, GA 30106
(770) 948-6041
Mailing address
3020 ABBOTTS POINTE DRIVE, DULUTH, GA 30097
(423) 413-9070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PEND
GA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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