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Dr. Charles M Mendenhall, MD
Radiation Oncology Physician in Albany, Georgia
NPI 1639152085

Charles M Mendenhall is a Radiation Oncology Physician based in Albany, GA and is specialized in Radiation Oncology. Charles M Mendenhall practices in Albany, GA and has the professional credentials of MD. The NPI Number for Charles M Mendenhall is 1639152085 and holds a License No. 24842 (Georgia).

The current practice location address for Charles M Mendenhall is 425 3Rd Ave, Albany, GA and can be reached out via phone at 229-883-0717 and via fax at 229-312-2257.

Location: 425 3Rd Ave, Albany, GA, 31701-1955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639152085
Provider Name
Charles M Mendenhall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
425 3Rd Ave, Albany, GA, 31701-1955
Phone Number
229-883-0717
Fax Number
229-312-2257
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP754 01 MEDICARE GROUP
122061 01 PEACH STATE
341228 01 WELLCARE
00266252A 05 GA
320000060 01 RAILROAD MEDICARE
CL3407 01 RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
425 3Rd Ave
City
Albany
State
Georgia
Zip
31701-1955
Phone Number
229-883-0717
Fax Number
229-312-2257
person
Provider Business Mailing Address Details
Address
425 3Rd Ave
City
Albany
State
Georgia
Zip
31701-1955
Phone Number
229-883-0717
Fax Number
229-312-2257
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
24842 (Georgia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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