Organization
CHARLES L. LETT, M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEONARD LETT MD (PRESIDENT)
(334) 875-4374
Entity
Organization
Contact information
Practice address
1013 MEDICAL CENTER PKWY, BUILDING 1 SUITE A, SELMA, AL 36701-6742
(334) 875-4374
(334) 875-4374
Mailing address
1013 MEDICAL CENTER PKWY, BUILDING 1 SUITE A, SELMA, AL 36701-6742
(334) 875-4374
(334) 875-4374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8713
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51002287
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/27/2007
Last updated
08/22/2020
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