Individual provider · Type 1 NPI

Charles M. Wispert, PA-C

Surgical Physician Assistant · Augusta, GA

NPI number 1932210648 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Call (706) 721-4951 Map

Fax (706) 721-7941

Mailing address

1120 15th St # OR6000
Augusta, GA 30912-0004

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002166 (GA)
Surgical Physician Assistant Primary 363AS0400X002166 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1932210648

Charles M. Wispert, PA-C's National Provider Identifier is 1932210648, issued on Aug 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Jan 18, 2024.