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Contact Information

CHARLES D PROCTER JR, MD
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA30327
 Phone: 470-419-4380
 Fax: 877-708-5261
 Website: http://www.beltlinebariatric.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES D PROCTER JR · (Male)

NPI Number 1598780488
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 09/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 059108
  • GA Other 9243155 AETNA
  • GA Other 52222643 BC/BS OF GEORGIA
  • GA Other 52222643 BCBS
  • GA Other 7992557 CIGNA
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • PIEDMONT HOSPITAL - (Acute Care)
    1968 PEACHTREE RD NW
    ATLANTA, GA 30309
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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