Charlie W. Dean, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHARLIE W. DEAN, MD, LLC

Practice address

107 Woodlawn Dr
Perry, GA 31069-2394

Phone

(478) 333-2100

Fax

(478) 333-5201

NPI assigned

Nov 1, 2012

Last updated

Sep 27, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlie W Dean, MD

Title

Owner

Phone

(770) 380-5472

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1639423320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692394",
            "telephone_number": "478-333-2100",
            "fax_number": "478-333-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692394",
            "telephone_number": "478-333-2100",
            "fax_number": "478-333-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE W. DEAN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-380-5472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Georgia Dialysis LLC (Perry Dialysis Center)
• Central Georgia Drug & Dna Testing
• Cep America-Georgia P C
• Kylee Cerulli, PHARMD
• Alvin D Chapman, D.M.D.
• Katie Childers
• Katlyn Chitwood, M.ED.
• Kaitlin Ann Christian
• Marjorie Christopher, FNP-C
• Coast to Coast Medical Transportation

• Family Medicine Physician in Perry, GA
• Providers in Perry, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.