Individual
DR. CHARLES HANDFIELD WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 DAUPHIN ST STE 7A, MOBILE, AL 36608-1775
(251) 410-4001
(251) 410-4002
Mailing address
PO BOX 11407 DEPT # 8094, BIRMINGHAM, AL 35246-0001
(251) 410-4002
(251) 410-4001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD41701
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME64289
FL
Other
Enumeration date
07/07/2005
Last updated
08/02/2021
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