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Individual

DR. CHARLES M EDDINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1772 S ALABAMA AVE, MONROEVILLE, AL 36460-3062
(251) 575-4825
(251) 575-7730
Mailing address
75 HIGHWAY 136 W, MONROEVILLE, AL 36460
(251) 575-4825
(251) 575-7730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00014732
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000086980
AL
01
080031628
RR MEDICARE #
AL
01
86980
BC BS PROVIDER #
AL
Enumeration date
06/16/2005
Last updated
03/05/2009
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