Individual
DR. CHARLES V GASTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
168 MOBILE INFIRMARY BLVD, MOBILE, AL 36607-3510
(251) 433-1895
(251) 433-1917
Mailing address
168 MOBILE INFIRMARY BLVD, MOBILE, AL 36607-3510
(251) 433-1895
(251) 433-1917
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME144525
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD.48566
AL
2085R0204X
Vascular & Interventional Radiology Physician
ME144525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114401-00
—
FL
01
—
LJ1C2
BCBS
FL
01
—
NW170
MEDICARE
FL
01
—
NW171
MEDICARE
FL
Enumeration date
05/02/2015
Last updated
12/08/2025
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