Organization
SOLAR FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES H EVANS NONE (OFFICE MANAGER)
(912) 265-5994
Entity
Organization
Contact information
Practice address
122 SCRANTON CONNECTOR, SUITE 112, BRUNSWICK, GA 31525
(912) 265-5994
Mailing address
122 SCRANTON CONNECTOR, SUITE 112, BRUNSWICK, GA 31525
(912) 265-5994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN120593
GA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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