Individual
MR. CHARLIE DEMETRIUS NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ATLANTA VETERANS ADMINISTRATION MEDICAL CENTER, 1670 CLAIRMONT ROAD, DECATUR, GA 30033
(404) 321-6111
Mailing address
5888 RONNIE DR, REX, GA 30273-1060
(937) 241-3162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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