Individual
DR. CHARLES JACOB STOUDENMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 W 3RD AVE STE 7, ALBANY, GA 31701
(615) 343-4882
Mailing address
507 W 3RD AVE STE 7, ALBANY, GA 31701-1944
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
079906
GA
Other
Enumeration date
04/17/2013
Last updated
06/25/2018
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