Individual
DR. CHARLES BAILEY ELIJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
318 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 678-1727
(334) 678-1521
Mailing address
318 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 678-1727
(334) 678-1521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5719
AL
Other
Enumeration date
09/15/2009
Last updated
02/06/2024
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