Charles Idom, M.D., FACS

Individual Active
NPI 1316943210
Urology Physician Dalton, GA

Charles Idom, M.D., FACS holds NPI 1316943210, with a primary taxonomy of urology physician and a practice location in Dalton, GA. The number was issued on June 24, 2005 and the NPPES record was last updated on September 11, 2017.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X 050482 (GA)

Practice location

1434 Broadrick Dr
Dalton, GA 30720-3009
Phone: (706) 278-5961

Local context

Active NPPES records list 20 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 6 of them within 10 miles.

The same primary taxonomy is listed by 575 in Georgia and 19,304 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Charles B Idom Jr.
Status
Active
NPI issued
Last updated in NPPES
Deactivated
Reactivated

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NPPES data as of · Source: CMS NPPES

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