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Individual

CHARLES B ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
8786
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000081207
BLUE CROSS
AL
05
000081207
AL
01
000092751
BLUE CROSS
AL
01
260034072
RAILROAD MEDICARE
AL
01
430053167
RAILROAD MEDICARE
AL
01
E23378
VIVA
AL
Enumeration date
05/22/2006
Last updated
07/21/2011
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