Dr CHARLES GARY LODGE is a male medical professional, specializing in Family Medicine. He graduated in 1981 from Medical College Of Georgia.
COLQUITT REGIONAL MEDICAL CENTER
6 HOSPITAL PARK
MOULTRIE
GA
317686700
Tel: 2298919131
| Npi | 1366521205 |
| Pac Id | 3072702299 |
| Professional Enrollment Id | I20110104000647 |
| Last Name | LODGE |
| First Name | CHARLES |
| Middle Name | GARY |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | COLQUITT REGIONAL MEDICAL CENTER |
| Group Practice Pac Id | 6204821796 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 6 HOSPITAL PARK |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MOULTRIE |
| State | GA |
| Zip Code | 317686700 |
| Phone Number | 2298919131 |
| Hospital Affiliation Ccn 1 | 110105 |
| Hospital Affiliation Lbn 1 | COLQUITT REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.