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Contact Information

CHARLES H PENN JR, MD
1061 HARMON AVE
STE 1D03
FORT STEWART, GA31314
 Phone: 912-435-5515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES H PENN JR · (Male)

NPI # 1679572028
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 10/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 026911
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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