Provider Demographics
NPI:1942234281
Name:GARTEN, CHARLES EDWARD II (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:EDWARD
Last Name:GARTEN
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:3280 HOWELL MILL RD NW
Mailing Address - Street 2:STE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4116
Mailing Address - Country:US
Mailing Address - Phone:404-352-8156
Mailing Address - Fax:404-350-9405
Practice Address - Street 1:3200 DOWNWOOD CIR NW STE 340
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1605
Practice Address - Country:US
Practice Address - Phone:404-352-8156
Practice Address - Fax:404-350-9405
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2018-07-23
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Provider Licenses
StateLicense IDTaxonomies
GA056449207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA056449OtherGEORGIA LICENSE