Individual
CHARLES MARVIN MCGAHEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12490 AL HIGHWAY 157, MOULTON, AL 35650-1062
(256) 284-7706
(256) 284-7711
Mailing address
3515 CLOVERDALE RD, FLORENCE, AL 35633-1301
(256) 284-7706
(256) 284-7711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12014
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338924
—
AL
01
—
51014729
BLUECROSSBLUESHIELD
AL
01
—
E368
MEDICARE
AL
Enumeration date
12/16/2005
Last updated
01/08/2025
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