Individual
CHARLES RANDALL HARVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2303 STARMOUNT CIR SW, HUNTSVILLE, AL 35801-3817
(256) 533-9035
Mailing address
2303 STARMOUNT CIR SW, HUNTSVILLE, AL 35801-3817
(256) 533-9035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL3673
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829587
UNITED CONCORDIA
AL
01
—
90146
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/22/2007
Last updated
07/08/2007
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