Organization
CHARLES B. LOVELADY, M.D., L.L.C.
Active
Parent organization
JACKSON COUNTY HEALTHCARE AUTHORITY
Other names
Charles B Lovelady MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON COUNTY HEALTHCARE AUTHORITY
Authorized official
DR. CHARLES LOVELADY M.D. (MEDICAL OFFICER)
(256) 259-4817
Entity
Organization
Contact information
Practice address
509 BURLINGTON ST, SCOTTSBORO, AL 35768-4216
(256) 259-4817
(256) 259-2075
Mailing address
PO BOX 1050, SCOTTSBORO, AL 35768-1050
(256) 218-3856
(256) 218-3536
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD13720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112843
—
AL
01
—
51049416
BLUE CROSS
AL
Enumeration date
02/10/2011
Last updated
02/10/2011
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