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MR. CHARLES OWEN OSHAUGHNESSY MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1174557268

Individual Registrant:
MR. CHARLES OWEN OSHAUGHNESSY MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1601 INLET AVE  TYBEE ISLAND, GA 31328 US
Tel: 912-786-8866  Fax: 912-786-8632

Contact information for business:
PO BOX 2678  TYBEE ISLAND, GA 31328 US
Tel: 912-786-8866  Fax: 912-786-8632

Registration Information:
NPI: 1174557268
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA033420
X208D00000XAllopathic & Osteopathic Physicians
General Practice
GA033420

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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