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1366521205
CHARLES GARY LODGE
MOULTRIE, GA
NPI
1366521205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 024019)
Enumeration Date
2006-11-02
Last Update Date
2010-09-01
Business Address
Dr. CHARLES GARY LODGE M.D.
6 HOSPITAL PARK
MOULTRIE, GA 31768-6700
Phone number: 229-985-3320
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Mailing Address
Dr. CHARLES GARY LODGE M.D.
PO BOX 3037
MOULTRIE, GA 31776-3037
Phone number: 229-985-3320
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