Provider Demographics
NPI:1861982670
Name:JOINER, CHARITY RENA
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:RENA
Last Name:JOINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 WOODLAKES DR
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-2011
Mailing Address - Country:US
Mailing Address - Phone:478-231-0978
Mailing Address - Fax:
Practice Address - Street 1:1120 INDIAN DR
Practice Address - Street 2:
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-7670
Practice Address - Country:US
Practice Address - Phone:478-354-4220
Practice Address - Fax:478-354-4225
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-16
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN183068207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine