Healthcare Provider Details

I. General information

NPI: 1013327097
Provider Name (Legal Business Name): CHARLOTTE STEELMAN MACDONELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHARLOTTE KATHERINE STEELMAN MD

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 10/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CENTER ST STE 1N
MOBILE AL
36604-1541
US

IV. Provider business mailing address

1700 CENTER ST CWEB 1, RM 1538
MOBILE AL
36604-3301
US

V. Phone/Fax

Practice location:
  • Phone: 251-410-5437
  • Fax: 251-434-3802
Mailing address:
  • Phone: 251-434-3915
  • Fax: 251-415-1387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34944
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: