Georgia
Composite Medical Board
LONG, CHARLES WALTER, MD
Medical - Physician
License number
053579
Date granted
08/08/2003
Date expires
10/31/2007
Class
Medical - Physician
Status
Lapsed
Address
P. O.BOX 560727
georgiadoctors.net
ID 38060670
LAST UPDATED 2026-03-13 22:25:43 UTC
LAST UPDATED 2026-03-13 22:25:43 UTC
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