Individual provider · Type 1 NPI

Richard St. Charles, PA-C

Medical Physician Assistant · Austell, GA

NPI number 1740556380 Active

Practice location

3820 Medical Park Drive
Austell, GA 30106

Call (770) 948-6041 Map

Mailing address

3020 Abbotts Pointe Drive
Duluth, GA 30097

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPEND (GA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1740556380

Richard St. Charles, PA-C's National Provider Identifier is 1740556380, issued on Mar 28, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austell, GA. The record was last updated on Mar 28, 2012.