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Individual

DR. CHARLTON H TRINIDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1739 E MAIN ST, PRATTVILLE, AL 36066-5525
(334) 358-8106
(334) 358-8107
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20890
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51510266
BCBS
AL
Enumeration date
10/11/2006
Last updated
07/08/2007
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