Procter, Charles Daniel

Procter, Charles Daniel is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Procter, Charles Daniel can be contacted via phone (786) 207-4000.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (786) 207-4000
Fax: (770) 531-2435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 035736 Georgia

Profile Details

NPI number 1457369258
LBN Legal business name Procter, Charles Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 28th, 2023 - about last year

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 1457369258 NPPES
Georgia MEDICAID 000502873K
Georgia MEDICAID 000502873M
Georgia MEDICAID 000502873I
Georgia MEDICAID 000502873J
Georgia MEDICAID 000502873S
Georgia Other 592947
Georgia MEDICAID 000502873R
Georgia MEDICAID 000502873T
Georgia Other 01338970
Georgia Other 1708262
Georgia Other 544229

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