Individual
CHARLES STEVEN DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. M. D.
Contact information
Practice address
4515 SOUTHLAKE PKWY, STE 101, BIRMINGHAM, AL 35244-3317
(205) 988-5656
Mailing address
2525 SADDLECREEK TRL, BIRMINGHAM, AL 35242-6005
(205) 980-8458
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LN03407
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045814
UNITED CONCORDIA
AL
01
—
91579
BLUE CROSS BLUE SHILED
AL
Enumeration date
08/03/2006
Last updated
07/08/2007
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