Individual
CHARLES FLOYD MOTLEY JR.
Active
Individual
CHARLES FLOYD MOTLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030248B
IN
2084P0800X
Psychiatry Physician
01030248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316332
ANTHEM BLUE CROSS
—
05
—
100163900A
—
IN
Enumeration date
08/09/2005
Last updated
04/22/2008
Update your record
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