Dr. Charles Coy Lassiter, MD
Internal Medicine, Pulmonary Disease in Marietta, GA. Individual provider (NPI-1).
NPI number1386671998
StatusActive
Last updated in NPPESJan 14, 2016
Details
- NPI
- 1386671998
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Coy Lassiter
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Jan 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 052984 | GA | Yes |
| 207R00000X | Internal Medicine | 052984 | GA | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 052984 | GA |
Practice location
400 Tower Rd NeSuite 200
Marietta, GA 30060-9411
Phone 770-514-7550 · Fax 770-514-1390
Mailing address
400 Tower Rd NeSuite 200
Marietta, GA 30060-9411
Phone 770-514-7550 · Fax 770-514-1390
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