Individual
CHARLES MATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3000
Mailing address
1027 BLUESTONE WAY, BIRMINGHAM, AL 35242-2534
(205) 240-1286
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-125231
AL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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