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DR. CHARLES SEMONES M.D.
Emergency Medical Services >> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1639110687
Individual Registrant:DR. CHARLES SEMONES M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
380 N CHURCH ST HOMERVILLE, GA 31634-2452 US
Tel: 912-487-1737 Fax: 912-487-1739
Tel: 912-487-1737 Fax: 912-487-1739
Contact information for business:
380 N CHURCH ST HOMERVILLE, GA 31634-2452 US
Tel: 912-487-1737 Fax: 912-487-1739
Tel: 912-487-1737 Fax: 912-487-1739
Registration Information:
NPI: 1639110687
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207PE0004X | Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medical Services | IL | 036-064564 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 051737 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 036064564-1 | IL | 05 | |
| BC/BS | 05721369 | IL | 01 |
