Charles P Bean PA

NPI 1053498519 - Physician Assistant - 363AS0400X

NPI Details
NPI 1053498519
Gender Male
Enumeration Date 11/01/2006
Last Updated 03/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
818 SAINT SEBASTIAN WAY STE 403
AUGUSTA GA, 30901-2654, US
Phone (706) 722-0705
Fax (762) 333-0496
Business Location
818 SAINT SEBASTIAN WAY STE 403
AUGUSTA GA, 30901-2654, US
Phone (706) 722-0705
Fax (762) 333-0496
Toxanomy
Taxonomy Code 363AS0400X
License State South Carolina
License Number A768
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According to our database, Charles P Bean PA NPI is 1053498519, taxonomy code is 363AS0400X and license number is A768, license state is located at South Carolina. Charles P Bean PA physically located at 818 Saint Sebastian Way Ste 403, Augusta GA, 30901-2654. NPI Number Charles P Bean PA has the Individual type.

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1053498519 NPI number is provided on an as is basis without warranty of any kind. 1053498519 is maintained by the National Plan & Provider Enumeration System. The contents of Charles P Bean PA are for informational purposes only.