NPIRadar

Charmille Aimesa Garnett Hare, DO Valid NPI

Individual provider · Family Medicine Physician · Locust Grove, GA

NPI
1114140704
Type
Individual (Type 1)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
063069 (GA)
Sex
Female
Sole proprietor
No
Enumerated
2007-04-11
Last updated
2016-01-19
Practice location
5040 Bill Gardner Pkwy, Suite 310
Locust Grove, GA 30248-3757
(770) 898-4339

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