Individual
DR. CHARLES D. COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12205 COUNTY LINE RD STE B, MADISON, AL 35758-7720
(256) 325-6722
(256) 325-6724
Mailing address
12100 COUNTY LINE RD STE A2, MADISON, AL 35756-2006
(256) 325-6722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12858
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018203
—
AL
Enumeration date
09/26/2005
Last updated
05/24/2022
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