Individual
CHARLES DAVID WINFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
193 OATES DR, NEWTON, AL 36352-4312
(334) 299-3592
(334) 299-3870
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-59
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532172
BCBS
AL
05
—
631804042
—
AL
Enumeration date
08/09/2006
Last updated
03/05/2013
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