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1568913903
CHARLES BENNETT WINTER
MACON, GA
NPI
1568913903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 8173)
Enumeration Date
2016-10-20
Last Update Date
2016-12-29
Business Address
-- CHARLES BENNETT WINTER CAA
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-2147
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Mailing Address
-- CHARLES BENNETT WINTER CAA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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