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Individual

CHARLES R LAW

Active
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Individual

CHARLES R LAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD.20968
AL
2081P0010X
Pediatric Rehabilitation Medicine Physician
MD.20968
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009948670
AL
05
06989317
MS
05
131757
AL
01
511-17174
BCBS
AL
01
G40410
VIVA HEALTH
AL
Enumeration date
08/30/2006
Last updated
10/06/2019
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