Gertler, Charles A

Gertler, Charles A is an individual health care provider with primary practice located at 3675 J Dewey Gray Circle Suite 300, Augusta GA 30909-1868. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gertler, Charles A can be contacted via phone (706) 863-9595.

Contact Information

Primary practice address
3675 J Dewey Gray Circle Suite 300 Augusta GA 30909-1868
Fax: (706) 860-7124
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 000857 Georgia

Profile Details

NPI number 1356318679
LBN Legal business name Gertler, Charles A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Jan 7th, 2010 - about 14 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 1356318679 NPPES
Georgia MEDICAID 0213PA
Georgia MEDICAID 100002356A

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