Mcclure, Charles Gettys

Mcclure, Charles Gettys is an sole proprietor health care provider with primary practice located at 1348 Walton Way Suite 4500, Augusta GA 30901-5104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mcclure, Charles Gettys can be contacted via phone (706) 722-8817.

Contact Information

Primary practice address
1348 Walton Way Suite 4500 Augusta GA 30901-5104
Phone: (706) 722-8817
Fax: (706) 722-3956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 017630 Georgia

Profile Details

NPI number 1063576288
LBN Legal business name Mcclure, Charles Gettys
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Oct 8th, 2015 - about 10 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 1063576288 NPPES
Georgia MEDICAID 000110261F
Georgia MEDICAID 906737

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