Provider Demographics
NPI:1285862706
Name:SCARBOROUGH, CHARLES STEPHENS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:STEPHENS
Last Name:SCARBOROUGH
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-9442
Mailing Address - Fax:
Practice Address - Street 1:1238 DANTIGNAC ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2788
Practice Address - Country:US
Practice Address - Phone:706-922-0600
Practice Address - Fax:706-922-0603
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2024-01-30
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Provider Licenses
StateLicense IDTaxonomies
GA003599208000000X
GA67317207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics