Individual
CHARLES PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 SNOW ST STE C, OXFORD, AL 36203-5402
(256) 343-4080
Mailing address
1525 LEIGHTON AVE STE B, ANNISTON, AL 36207-3805
(256) 343-4080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04699
AL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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