De Jarnette, Charles Phillip

De Jarnette, Charles Phillip is an individual health care provider with primary practice located at 303 Parkway Dr Ne , Atlanta GA 30312-1212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. De Jarnette, Charles Phillip can be contacted via phone (404) 265-4000.

Contact Information

Primary practice address
303 Parkway Dr Ne Atlanta GA 30312-1212
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 024925 Georgia

Profile Details

NPI number 1619914710
LBN Legal business name De Jarnette, Charles Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619914710 NPPES
Georgia Other 142005 BCBSGA (NSC)
Georgia Other 714223 BCBSGA (NSC)
Georgia Other P00184620 BCBSGA (NSC)

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