1316943210 Dr. Charles B Idom Jr., M.D., FACS
Urology Physician
Reactivated
Basic Information
- Full Name
- Dr. Charles B Idom Jr., M.D., FACS
- Gender
- Male
- Enumeration Date
- June 24, 2005
- Last Update
- September 11, 2017
- Deactivation Date
- March 16, 2006
- Reactivation Date
- March 31, 2006
Practice Location
- Address
- 1434 BROADRICK DR
DALTON, GA 307203009 - Phone
- (706) 278-5961
- Fax
- (706) 275-0280
Mailing Address
- Address
- 1434 BROADRICK DR
DALTON, GA 307203009 - Phone
- (706) 278-5961
- Fax
- (706) 275-0280
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Urology Physician | 208800000X | Urology | 050482 | GA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340019475 | 01 | GA | RAILROAD MEDICARE |
| 00931312A | 05 | GA | N/A |
Frequently Asked Questions
What is Dr. Charles B Idom Jr., M.D., FACS's NPI number?
Dr. Charles B Idom Jr., M.D., FACS's NPI number is 1316943210.
Which doctor has NPI number 1316943210?
The doctor with NPI number 1316943210 is Dr. Charles B Idom Jr., M.D., FACS.
What is Dr. Charles B Idom Jr., M.D., FACS's practice address?
Dr. Charles B Idom Jr., M.D., FACS's practice address is 1434 BROADRICK DR, DALTON, GA, 307203009.
Which doctor practices at 1434 BROADRICK DR, DALTON, GA, 307203009?
Dr. Charles B Idom Jr., M.D., FACS practices at 1434 BROADRICK DR, DALTON, GA, 307203009.
What is Dr. Charles B Idom Jr., M.D., FACS's phone number?
Dr. Charles B Idom Jr., M.D., FACS's phone number is (706) 278-5961.
Who is (706) 278-5961?
(706) 278-5961 is the phone number for Dr. Charles B Idom Jr., M.D., FACS.
What is Dr. Charles B Idom Jr., M.D., FACS's specialty?
Dr. Charles B Idom Jr., M.D., FACS's specialty is Urology Physician.
What type of doctor is Dr. Charles B Idom Jr., M.D., FACS?
Dr. Charles B Idom Jr., M.D., FACS is a Urology Physician.
Is Dr. Charles B Idom Jr., M.D., FACS a Urology?
Yes, Dr. Charles B Idom Jr., M.D., FACS is a Urology.
Is Dr. Charles B Idom Jr., M.D., FACS still practicing?
Yes, Dr. Charles B Idom Jr., M.D., FACS has reactivated their practice and is currently practicing.
Is Dr. Charles B Idom Jr., M.D., FACS accepting new patients?
Dr. Charles B Idom Jr., M.D., FACS may be accepting new patients. Please call their office at (706) 278-5961 to inquire about availability.
Is NPI 1316943210 still active?
Yes, NPI 1316943210 has been reactivated and is currently active.
Where does Dr. Charles B Idom Jr., M.D., FACS practice?
Dr. Charles B Idom Jr., M.D., FACS practices in DALTON, GA.
Is Dr. Charles B Idom Jr., M.D., FACS a male or female doctor?
Dr. Charles B Idom Jr., M.D., FACS is a male doctor.