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Contact Information

CHARLES M HARDEN JR, MD
130 N GROSS RD STE 201
KINGSLAND, GA31548-6277
 Phone: 912-729-2795
 Fax: 912-729-4117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CHARLES M HARDEN JR · (Male)

NPI Number 1053386508
Status Active
Credentials MD
Entity Individual
Enumeration date 02/20/2006
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 044930
  • GA Medicaid 000799345D
  • GA Other 206395 BLUE CROSS
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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