Individual
CHARLES H CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ST VINCENTS DRIVE, #700, BIRMINGHAM, AL 35205
(205) 933-8981
(205) 930-0746
Mailing address
800 ST VINCENTS DRIVE, #700, BIRMINGHAM, AL 35205
(205) 933-8981
(205) 930-0746
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528201860
—
AL
Enumeration date
10/10/2006
Last updated
04/08/2011
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