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Contact Information

CHARLES J STOUDENMIRE, MD
507 W 3RD AVE STE 7
ALBANY, GA31701
 Phone: 615-343-4882
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHARLES J STOUDENMIRE · (Male)

NPI # 1750725099
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2013
Last updated 06/25/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 079906
Hospital affiliation(s)
  • PHOEBE PUTNEY MEMORIAL HOSPITAL - (Acute Care)
    417 THIRD AVENUE
    ALBANY, GA 31703
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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