# CHARLES T NEVELS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346314366
- **Authorized official:** CHARLES THOMAS NEVELS MD (OWNER)
- **Authorized official phone:** (205) 556-8391

## Contact information

- **Practice address:** 4406 OXFORD GATE DR, TUSCALOOSA, AL 35405-4767
- **Practice address phone:** (205) 556-8391
- **Practice address fax:** (205) 553-3323
- **Mailing address:** PO BOX 40204, TUSCALOOSA, AL 35404-0204
- **Mailing address phone:** (205) 556-8391
- **Mailing address fax:** (205) 553-3323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 00025226 | AL | — |
| 2084P0805X | Geriatric Psychiatry Physician | 00025226 | AL | Yes |
| 208D00000X | General Practice Physician | 00025226 | AL | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 09/17/2013