Individual
DR. CHARLES W BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
115 GORDON ST, THOMSON, GA 30824-1537
(706) 595-3462
(706) 595-3616
Mailing address
1540 MATTOX CREEK DR, THOMSON, GA 30824-7634
(706) 595-7264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
GA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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