Organization
CHARLES G.MCCLURE,M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA S WHITMAN (OFFICE MANAGER)
(706) 722-8817
Entity
Organization
Contact information
Practice address
1303 DANTIGNAC ST, SUITE 2800, AUGUSTA, GA 30901-2775
(706) 722-8817
(706) 722-3315
Mailing address
1303 DANTIGNAC ST, SUITE 2800, AUGUSTA, GA 30901-2775
(706) 722-8817
(706) 722-3315
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
017630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
906737
—
SC
Enumeration date
11/28/2007
Last updated
11/28/2007
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