Charron, Kevin Michael

Charron, Kevin Michael is an individual health care provider with primary practice located at 150 Clinic Ave Ste 101, Carrollton GA 30117-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Charron, Kevin Michael can be contacted via phone (770) 834-0873.

Contact Information

Primary practice address
150 Clinic Ave Ste 101 Carrollton GA 30117-4401
Phone: (770) 834-0873
Fax: (770) 834-6118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 44931 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 060247 Georgia

Profile Details

NPI number 1699898437
LBN Legal business name Charron, Kevin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jun 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699898437 NPPES
Georgia MEDICAID 659167311B

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