Individual
DR. CHARLES S TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
597 S MEMORIAL DR, PRATTVILLE, AL 36067-3630
(334) 365-9732
Mailing address
597 S MEMORIAL DR, PRATTVILLE, AL 36067-3630
(334) 365-9732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2828
AL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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