Organization
CHARLES D. RUBLEY DBA BEAVERTON MEDICAL CLINIC
Active
Other names
Charles D. Rubley dba Beaverton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D RUBLEY CRNP (OWNER / PROVIDER)
(205) 606-1200
Entity
Organization
Contact information
Practice address
12815 US HWY 278, BEAVERTON, AL 35544
(205) 606-1200
(205) 606-1202
Mailing address
PO BOX 38, BEAVERTON, AL 35544-0038
(205) 606-1200
(205) 606-1202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-081378
AL
Other
Enumeration date
12/18/2017
Last updated
04/06/2018
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