Individual
MR. CHARLES RICHARD EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6183 LAKE OCONEE PKWY, GREENSBORO, GA 30642-3823
(762) 445-1940
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004255
GA
Other
Enumeration date
04/08/2013
Last updated
01/15/2025
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