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Contact Information

CHARLESTON FAGLIE
MARTIN ARMY COMMUNITY HOSPITAL
6600 VAN AALST BLVD, BLDG 9250
FT MOORE, GA31905
 Phone: 409-771-2286
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CHARLESTON FAGLIE · (Male)

NPI # 1013671577
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2021
Last updated 01/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1370634
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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