Individual
CHARLES THOMAS NEVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4406 OXFORD GATE, TUSCALOOSA, AL 35405
(205) 556-8391
(205) 553-3323
Mailing address
PO BOX 40204, TUSCALOOSA, AL 35404
(205) 556-8391
(205) 553-3323
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00025226
AL
2084P0805X
Geriatric Psychiatry Physician
Primary
00025226
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009928505
—
AL
01
—
051003682
BCBS
AL
Enumeration date
12/13/2006
Last updated
09/11/2013
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