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Individual

CHARLES SLAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(256) 539-0856
Mailing address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(256) 539-0856

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019011519
MO
363LF0000X
Family Nurse Practitioner
Primary
3-000625
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272783
AL
01
A13604A
MEDICARE
AL
Enumeration date
06/05/2019
Last updated
10/27/2021
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