MEDICARE: CHARLES FRANKLIN GIDDENS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	00008478	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051516401	OTHER	AL	BLUE CROSS BLUE SHIELD
2	051516404	OTHER	AL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	051516403	OTHER	AL	BLUE CROSS BLUE SHIELD
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	051516405	OTHER	AL	BLUE CROSS BLUE SHIELD
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	051516400	OTHER	AL	BLUE CROSS BLUE SHIELD
14	051516402	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1174676308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES FRANKLIN GIDDENS MD

Provider Business Mailing Address
First Line	:	309 TAYLOR ST
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2421
Country	:	US
Telephone Number	:	256-259-5313
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 MAIN ST N
Second Line	:
City	:	SECTION
State	:	AL
Zip	:	35771-7168
Country	:	US
Telephone Number	:	256-228-3471
Fax Number	:	256-228-7289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	10/03/2013

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