person
Charles Daniel Procter SR., MD
Vascular Surgery Physician in Gainesville, Georgia
NPI 1457369258

Charles Daniel Procter SR. is a Vascular Surgery Physician based in Gainesville, GA and is specialized in Vascular Surgery. Charles Daniel Procter SR. practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Charles Daniel Procter SR. is 1457369258 and holds a License No. 035736 (Georgia).

The current practice location address for Charles Daniel Procter SR. is 725 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 786-207-4000 and via fax at 770-531-2435. You can also correspond with Charles Daniel Procter SR. through the mailing address at PO BOX 658, GAINESVILLE, GA - 30503-0658 (mailing address contact number: 770-718-1122).

Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
person
Provider Profile Details
NPI Number
1457369258
Provider Name
Charles Daniel Procter SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
725 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
786-207-4000
Fax Number
770-531-2435
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000502873K 05 GA
000502873M 05 GA
000502873I 05 GA
000502873J 05 GA
000502873S 05 GA
592947 01 GA BCBS
000502873R 05 GA
000502873T 05 GA
01338970 01 GA AMERIGROUP
1708262 01 GA WELLCARE
544229 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
786-207-4000
Fax Number
770-531-2435
person
Provider Business Mailing Address Details
Address
725 Jesse Jewell Pkwy Se
City
State
Zip
30501-3834
Phone Number
786-207-4000
Fax Number
770-531-2435
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
035736 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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