| Charlton Family Care, Inc | |
|
190 Austin Ryan Dr Kingsland GA 31548-6191 | |
| (917) 288-6765 | |
| Not Available |
| Full Name | Charlton Family Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 190 Austin Ryan Dr, Kingsland, Georgia |
| Authorized Official Name and Position | Maged Edward Abdelmalik (PRESIDENT) |
| Authorized Official Contact | 9172886765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlton Family Care, Inc 190 Austin Ryan Dr Kingsland GA 31548-6191 Ph: (917) 288-6765 | Charlton Family Care, Inc 190 Austin Ryan Dr Kingsland GA 31548-6191 Ph: (917) 288-6765 |
| NPI Number | 1598032112 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598032112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 55077 (Georgia) | Primary |
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