Individual
CHARLES EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
721 MADISON STREET, HUNTSVILLE, AL 35801
(256) 880-6711
(256) 880-6712
Mailing address
PO BOX 288, HUNTSVILLE, AL 35804-0288
(256) 880-6711
(256) 880-6712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
09/06/2007
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