Individual
CHARLES WESLEY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2165 HIGHWAY 78 STE 100, DORA, AL 35062-4539
(205) 648-4567
Mailing address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43012
AL
Other
Enumeration date
04/11/2020
Last updated
06/05/2023
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