Organization
CHARLES W. NOLEN, JR., M.D., P.C.
Active
Other names
Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W. NOLEN, JR. M.D. (OWNER)
(205) 932-7821
Entity
Organization
Contact information
Practice address
1705 1ST WAY NW, FAYETTE, AL 35555-1307
(205) 932-7821
Mailing address
1705 1ST WAY NW, P.O. BOX 190, FAYETTE, AL 35555-1307
(205) 932-7821
(205) 932-7684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14531
AL
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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