Individual
CHARLES EADDY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8820 HOSPITAL DR, DOUGLASVILLE, GA 30134-2266
(770) 947-3000
Mailing address
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1649
(404) 836-0136
(404) 850-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95130
GA
Other
Enumeration date
03/25/2020
Last updated
04/18/2025
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