Individual
MICHAEL S CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
150 S INGLESIDE ST, FAIRHOPE, AL 36532-1803
(251) 990-1920
(251) 990-1921
Mailing address
150 S INGLESIDE ST, FAIRHOPE, AL 36532-1803
(251) 990-1920
(251) 990-1921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-110315
AL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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