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Contact Information

JEAN ELIZZE M CHARLES, DO
4235 WILLIAMS DR
GEORGETOWN, TX78628-1337
 Phone: 512-279-3376
 Fax: 512-666-3244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JEAN ELIZZE M CHARLES · (Female)

NPI Number 1376075507
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/28/2017
Last updated 08/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # T1316
Hospital affiliation(s) Not Available
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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