Individual
DR. CHARLES C SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 PEAKE RD, #700, MACON, GA 31210-8042
(478) 476-9285
(478) 474-9034
Mailing address
6501 PEAKE RD, #700, MACON, GA 31210-8042
(478) 476-9285
(478) 474-9034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00864311A
—
GA
01
—
110205944
RAILROAD MEDICARE
GA
01
—
357430
WELLCARE
GA
Enumeration date
11/01/2006
Last updated
08/18/2010
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