Individual provider · Type 1 NPI

Charles Joseph Charbonneau

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1710801931 Active

Practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Mailing address

PO Box 4019
Atlanta, GA 30302-4019

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRN305464 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710801931

Charles Joseph Charbonneau's National Provider Identifier is 1710801931, issued on Aug 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 10, 2026.