Individual
CHARLIE WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
817 PRINCETON AVE SW, PROFESSIOANL BLDG 2 SUITE 202, BIRMINGHAM, AL 35211-1333
(205) 786-8815
Mailing address
4941 CRYSTAL CIR, HOOVER, AL 35226-4900
(205) 987-7424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-047740
AL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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