person
Charles Jeffrey Sidlow, DPM
Primary Podiatric Medicine Podiatrist in Cartersville, Georgia
NPI 1033179270

Charles Jeffrey Sidlow is a Primary Podiatric Medicine Podiatrist based in Cartersville, GA and is specialized in Primary Podiatric Medicine. Charles Jeffrey Sidlow practices in Cartersville, GA and has the professional credentials of DPM. The NPI Number for Charles Jeffrey Sidlow is 1033179270 and holds a License No. POD000560 (Georgia).

The current practice location address for Charles Jeffrey Sidlow is 958 Joe Frank Harris Pkwy Se Bldg A, Cartersville, GA and can be reached out via phone at 770-386-1389 and via fax at 770-386-4894.

Location: 958 Joe Frank Harris Pkwy Se Bldg A, Cartersville, GA, 30120-2175
person
Provider Profile Details
NPI Number
1033179270
Provider Name
Charles Jeffrey Sidlow
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
958 Joe Frank Harris Pkwy Se Bldg A, Cartersville, GA, 30120-2175
Phone Number
770-386-1389
Fax Number
770-386-4894
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000333803A 05 GA
institution
Provider Business Practice Location Address Details
Address
958 Joe Frank Harris Pkwy Se Bldg A
City
State
Zip
30120-2175
Phone Number
770-386-1389
Fax Number
770-386-4894
person
Provider Business Mailing Address Details
Address
958 Joe Frank Harris Pkwy Se Bldg A
City
State
Zip
30120-2175
Phone Number
770-386-1389
Fax Number
770-386-4894
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
POD000560 (Georgia)
Definition
Definition to come...
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