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1932218088
CHARLES R BAISDEN
AUGUSTA, GA
NPI
1932218088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: GA 020403)
Enumeration Date
2006-08-30
Last Update Date
2007-07-09
Business Address
CHARLES R BAISDEN MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2776
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Mailing Address
CHARLES R BAISDEN MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100
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