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Dr. Charles M Harden JR., MD
General Practice Physician in Kingsland, Georgia
NPI 1053386508

Charles M Harden JR. is a General Practice Physician based in Kingsland, GA. Charles M Harden JR. practices in Kingsland, GA and has the professional credentials of MD. The NPI Number for Charles M Harden JR. is 1053386508 and holds a License No. 044930 (Georgia).

The current practice location address for Charles M Harden JR. is 130 N Gross Rd Ste 201, Kingsland, GA and can be reached out via phone at 912-729-2795 and via fax at 912-729-4117.

Location: 130 N Gross Rd Ste 201, Kingsland, GA, 31548-6277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053386508
Provider Name
Charles M Harden JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
130 N Gross Rd Ste 201, Kingsland, GA, 31548-6277
Phone Number
912-729-2795
Fax Number
912-729-4117
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206395 01 GA BLUE CROSS
000799345D 05 GA
institution
Provider Business Practice Location Address Details
Address
130 N Gross Rd Ste 201
City
Kingsland
State
Georgia
Zip
31548-6277
Phone Number
912-729-2795
Fax Number
912-729-4117
person
Provider Business Mailing Address Details
Address
130 N Gross Rd Ste 201
City
Kingsland
State
Georgia
Zip
31548-6277
Phone Number
912-729-2795
Fax Number
912-729-4117
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
044930 (Georgia)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
044930 (Georgia)
Definition
Definition to come...
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