Individual
CHARLES MICHAEL MEAD
Active
Individual
CHARLES MICHAEL MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00017189
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531044
MEDICARE - GARDENDALE PHYSICIAN ASSOC.
AL
01
—
051531585
MEDICARE - NORTH JEFFERSON IMAGING, LLC
AL
01
—
051540087
MEDICARE - HORIZON IMAGING, PC
AL
05
—
051555108
—
AL
01
—
51524439
BCBS AL
AL
01
—
P00189169
RAILROAD MEDICARE
—
Enumeration date
06/30/2005
Last updated
11/15/2016
Update your record
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