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1053498519
CHARLES P BEAN
AUGUSTA, GA
NPI
1053498519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC A768)
Enumeration Date
2006-11-01
Last Update Date
2015-03-30
Business Address
-- CHARLES P BEAN PA
818 SAINT SEBASTIAN WAY STE 403
AUGUSTA, GA 30901-2654
Phone number: 706-722-0705
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Mailing Address
-- CHARLES P BEAN PA
818 SAINT SEBASTIAN WAY STE 403
AUGUSTA, GA 30901-2654
Phone number: 706-722-0705
Copy
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