Charles E Bagley Mdpc

NPI #1093829343 in Alma, Georgia

Provider Information

NPI Number: 1093829343
Entity Type: Organization
Organization Name: Charles E Bagley Mdpc
Primary Specialty: Family Medicine
Enumeration Date: Aug 17, 2006
Last Updated: Mar 5, 2010

Practice Location

Address: 210 E 16TH STREET
City: Alma
State: Georgia
ZIP Code: 31510
Phone: (912) 632-7203

Authorized Official

Name: CHARLES E BAGLEY
Title: OWNER
Phone: (912) 632-7203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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