Charlie W Dean (NPI# 1356433791, PAC ID# 1153470547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1356433791 |
PAC ID by PECOS | 1153470547 |
Professional Enrollment ID | I20090513000574 |
Full Name | Charlie W Dean |
Address |
644 Tallulah Trl Warner Robins GA 31088-7625 |
Gender | M |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1974 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110069 | HOUSTON MEDICAL CENTER |
110153 | PERRY HOSPITAL |
Address | Phone | Organization |
---|---|---|
644 Tallulah Trl, Warner Robins, GA 31088-7625 |
Street Address |
644 TALLULAH TRL |
City | WARNER ROBINS |
State | GA |
Zip | 31088-7625 |
Name | Specialty | Organization | Address |
---|---|---|---|
Camille S Lundi | Nurse Practitioner | Allergy Associates, Pa | 403 Margie Dr, Warner Robins, GA 31088 |
Becky L Campbell | Internal Medicine | 500 Spillers Way, Warner Robins, GA 31088-0513 | |
Kevin J Baggett | Family Medicine | 500 Spillers Way, Warner Robins, GA 31088-0513 | |
Navid Khoshooee | Optometry | 1112 Russell Pkwy, Suite C, Warner Robins, GA 31088-1819 | |
Michael P Butler | Chiropractic | 2278 Moody Rd, Suite C, Warner Robins, GA 31088-1925 | |
Donald S Meck | Psychologist, Clinical | 2278 Moody Rd D, Warner Robins, GA 31088-1933 | |
Donna Y Rait | Psychologist, Clinical | 2278 Moody Rd, D, Warner Robins, GA 31088-1933 | |
Kazumi Chino | Diagnostic Radiology | Central Georgia Radiation Oncology Center | 114 Sutherlin Dr R, Warner Robins, GA 31088-2259 |
Rachel Hinson Youngblood | Physician Assistant | Central Georgia Cancer Care, P.C. | 114 Sutherlin Dr, Suite 1, Warner Robins, GA 31088-2259 |
Amanda Knauer Hale | Physician Assistant | Central Georgia Cancer Care, P.C. | 114 Sutherlin Dr, Suite 1, Warner Robins, GA 31088-2259 |
Find all physicians in zip 31088 |
City | WARNER ROBINS |
Zip Code | 31088 |
Specialty | FAMILY MEDICINE |
City + Specialty | WARNER ROBINS + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.