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Individual

DR. CHARLES EDWARD SHIPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
203 19TH STREET EAST, JASPER, AL 35501-5457
(205) 384-3481
(205) 384-1057
Mailing address
203 19TH STREET EAST, JASPER, AL 35501-5457
(205) 384-3481
(205) 384-1057

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11111
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529302220
AL
Enumeration date
07/06/2006
Last updated
06/24/2022
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