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Individual

CHARLES J DISKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-5442
(334) 749-6523
(334) 742-0242
Mailing address
121 N 20TH ST STE 20A, OPELIKA, AL 36801-5456
(334) 749-6523
(334) 742-0242

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
104691
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010756
AL
05
000086405
AL
05
000088816
AL
05
009919305
AL
05
009948975
AL
05
009948985
AL
05
009948995
AL
01
1023122983
NPI
05
125726
AL
05
125727
AL
01
51010756
BCBS LAFAYETTE
AL
01
51010757
BCBS OPELIKA
AL
01
51086405
BCBS TUSKEGEE
AL
01
51088816
BCBS LANGDALE
AL
01
51088820
BCBS DADEVILLE
AL
01
51520914
BCBS AUBURN
AL
05
528701590
AL
01
CC1726
RRRMC
AL
Enumeration date
08/18/2006
Last updated
02/18/2026
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