Individual
CHARLIE PRESCOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3511 MONROE CT, AUGUSTA, GA 30909-9243
(706) 910-7391
Mailing address
3511 MONROE CT, AUGUSTA, GA 30909-9243
(706) 910-7391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN219326
GA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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