SearchGeorgia376J00000X

Lacharles Washington

NPI 1508435439 · on the registry since 2021

Practice

Address
12 Collins Ln
Douglasville, GA 30134
Phone
(662) 582-5815

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
374U00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-15

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