Individual
CHARLES EDWARD GENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
08864R
LA
207Q00000X
Family Medicine Physician
Primary
MD34738
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080191889
RAILROAD MEDICARE
LA
05
—
1663034
—
LA
Enumeration date
08/12/2005
Last updated
07/21/2022
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