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General NPI Number Information
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NPI Number | 1306341870
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Entity Type | Individual
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Provider Name | CHARLITA CHEA WORTHY MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1800 HOWELL MILL RD NW STE 450
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City | ATLANTA
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State | GA
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Zip | 30318-2508
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Country | US
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Telephone | 404-355-4393
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Fax | 404-609-7648
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Provider Business Mailing Address
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Address Line | 6059 RIVEROAK TER
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City | ATLANTA
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State | GA
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Zip | 30349-4080
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Country | US
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Telephone | 404-915-2920
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Fax | 206-424-9510
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 89251
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License Number State | GA
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