Individual
DR. CHARLES PHILLIP BROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2109 DEL CARMEN DR, ANNISTON, AL 36207-7614
(256) 237-2935
Mailing address
2109 DEL CARMEN DR, ANNISTON, AL 36207-7614
(256) 237-2935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7100
AL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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