DR. CHARLES GETTYS MCCLURE M.D. NPI 1063576288

NPI Information

  • NPI: 1063576288
  • Provider Name: DR. CHARLES GETTYS MCCLURE, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 1348 WALTON WAY
    SUITE 4500
    AUGUSTA, GA
    ZIP 30901
  • Phone: (706) 722-8817

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NPI Details

DR. Charles Gettys Mcclure, M.D. is a neurology psychiatry neurology in Augusta, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Charles Gettys Mcclure, M.D. NPI is 1063576288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1348 WALTON WAY
SUITE 4500
AUGUSTA, GA
ZIP 30901-104
Phone: (706) 722-8817
Fax: (706) 722-3956

The enumeration date for this NPI number is 12/21/2006 and was last updated on 10/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology017630GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D40587MEDICARE UPINGEORGIA
2906737MEDICAIDSOUTH CAROLINA
3000110261FMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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