Individual
CHARLES M. SOPPET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 WESTSIDE DR, DOTHAN, AL 36303-1928
(334) 793-5074
(334) 793-6460
Mailing address
210 WESTSIDE DR, DOTHAN, AL 36303-1928
(334) 793-5074
(334) 793-6460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7839
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051512823
—
AL
01
—
110248042
RAILROAD MEDICARE
—
Enumeration date
05/24/2005
Last updated
12/16/2009
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