Charles A Bagwell is a Surgery in Douglas, Georgia. Charles A Bagwell practices all healthcare services and medical treatments related to Surgery. The NPI Number for Charles A Bagwell is 1366417479. The last update date is 2023-03-07.
Charles A Bagwell's current location address is 100 Doctors Dr Ste C, Douglas, Georgia. You can contact this provider via phone number 9123845832 and fax number 9123838279. The mailing address for Charles A Bagwell is 100 Doctors Dr Ste C, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles A Bagwell |
|---|---|
| Address | 100 Doctors Dr Ste C, Douglas, Georgia |
| Phone Number | 9123845832 |
| Fax Number | 9123838279 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366417479 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 100 Doctors Dr Ste C |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332211 |
| Phone Number | 9123845832 |
| Fax Number | 9123838279 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 50494 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11D1105865 | GA | CLIA ID - 17 JOHNSON ST | |
| 341153 | GA | WELLCARE OF GEORGIA | |
| 000919729B | GA | -- | |
| 000919729C | GA | -- | |
| 50494 | GA | GA LICENSE | |
| 50494 | GA | MEDICAL LICENSE | |
| 11D0265294 | GA | CLIA ID - 1309 OCILLA RD STE A | |
| PTAN P00473716 | GA | RAILROAD MEDICARE - PALMETTO G | |
| 129049 | GA | PEACHSTATE | |
| GROUP #DH1281 | GA | RAILROAD MEDICARE - PALMETTO G |
Post Comment/ Review Below
What is the unique identifier code issued to Charles A Bagwell by the Centers for Medicare & Medicaid Services (CMS)?
The Charles A Bagwell has been assigned the NPI (National Provider Identifier) 1366417479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Charles A Bagwell is physically located?
The Charles A Bagwell is physically situated at the following address: 100 Doctors Dr Ste C, Douglas, GA, 315332211.
What is Charles A Bagwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles A Bagwell is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date was the 1366417479 assigned to Charles A Bagwell?
The Charles A Bagwell was issued its 1366417479 on 2006-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Charles A Bagwell's details last updated?
The information pertaining to the Charles A Bagwell, including its address, specialty, and other details, was most recently updated on 2023-03-07.