SearchGeorgia207QS1201X

Charles Mounts

NPI 1013437292 · on the registry since 2017

Practice

Address
6600 Van Aalst Blvd
Fort Benning, GA 31905
Phone
(762) 408-3426
Fax
(762) 408-8116
Organisation at this address
Ach Martin-Benning
Ach Martin-Benning
Inferred from a shared address, not stated in the registry.
Clinicians at this address
289

Registry record

Primary taxonomy
207QS1201X
207QS1201X
Also registered as
390200000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia