Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JEFFREY SIDLOW, D.P.M.
ActiveCHARLES JEFFREY SIDLOW, D.P.M. is a Radiology Podiatrist healthcare provider located in CARTERSVILLE, Georgia. NPI 1033179270 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · CARTERSVILLE, GA
Registration Details
- NPI Number
- 1033179270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2006 (20.422129474237 yrs)
- Last Updated
- Dec 19, 2012
- License
-
POD000560 (GA)
Practice Information
- Address
-
958 JOE FRANK HARRIS PKWY SE BLDG ASUITE 106CARTERSVILLE, GA, 301202175Browse GA providers · Browse ZIP 30120
- Phone
- 7703861389
- Fax
- 7703864894
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.