Wispert, Charles M

Wispert, Charles M is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wispert, Charles M can be contacted via phone (706) 721-4951.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-4951
Fax: (706) 721-7941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002166 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002166 Georgia

Profile Details

NPI number 1932210648
LBN Legal business name Wispert, Charles M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 18th, 2024 - about 2 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 1932210648 NPPES
South Carolina MEDICAID 0084PA
South Carolina MEDICAID 682230399A

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