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Individual

DR. CHARLES W OUTZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3150 HIGHWAY 153, PIEDMONT, SC 29673-9498
(864) 220-0103
(864) 220-9925
Mailing address
PO BOX 447, EASLEY, SC 29641-0447
(864) 220-0103
(864) 220-9925

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23843
SC
208D00000X
General Practice Physician
Primary
23843
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238433
SC
Enumeration date
01/23/2006
Last updated
03/28/2022
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