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1548900061
CHARLES HADDAD
MOULTRIE, GA
NPI
1548900061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 1)
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
CHARLES HADDAD
1 MAGNOLIA CT
MOULTRIE, GA 31768-6764
Phone number: 229-502-9753
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Mailing Address
CHARLES HADDAD
1 MAGNOLIA CT
MOULTRIE, GA 31768-6764
Phone number: 904-327-3806
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