Individual
MR. CHARLES KEITH FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 755-5700
(205) 755-4966
Mailing address
PO BOX 1850, CLANTON, AL 35046-1850
(205) 755-5700
(205) 755-4966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8358
AL
Other
Enumeration date
10/19/2005
Last updated
02/16/2024
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