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1629067871
CHARLES SEVASTOS
BLUFFTON, SC
NPI
1629067871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 34004571S)
Enumeration Date
2005-10-20
Last Update Date
2019-05-22
Business Address
CHARLES SEVASTOS DO
10 OAK FOREST RD STE C
BLUFFTON, SC 29910-4974
Phone number: 843-815-3006
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Mailing Address
CHARLES SEVASTOS DO
836 E. 65TH STREET SUITE 20
SAVANNAH, GA 31405
Phone number: 912-819-7878
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