Healthcare Provider Details

I. General information

NPI: 1447269089
Provider Name (Legal Business Name): ASHLAND FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83745 HWY 9
ASHLAND AL
36251
US

IV. Provider business mailing address

PO BOX 1385
ASHLAND AL
36251-1500
US

V. Phone/Fax

Practice location:
  • Phone: 256-354-5064
  • Fax: 256-354-7099
Mailing address:
  • Phone: 256-354-5064
  • Fax: 256-354-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateAL

VIII. Authorized Official

Name: DR. CHARLES ALAN OGLES
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 256-354-5064