Provider Demographics
NPI:1639992548
Name:CURIEL, CHARBEL JESUS
Entity type:Individual
Prefix:MR
First Name:CHARBEL
Middle Name:JESUS
Last Name:CURIEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3076 STANTONDALE DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4106
Mailing Address - Country:US
Mailing Address - Phone:928-581-9916
Mailing Address - Fax:
Practice Address - Street 1:3076 STANTONDALE DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-4106
Practice Address - Country:US
Practice Address - Phone:928-581-9916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant