Individual
MR. CHARLES LEON PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5170
(256) 533-1600
Mailing address
201 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
1884
AL
Other
Enumeration date
12/27/2018
Last updated
01/24/2019
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