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NPI Code Detail

MEDICARE: DR. CHARLES PEYTON COLVIN M.D.

MEDICARE: DR. CHARLES PEYTON COLVIN M.D.
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
1207Y00000XOtolaryngology Physician18817AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811906126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES PEYTON COLVIN M.D.
Provider Business Mailing Address
First Line : 833 SAINT VINCENTS DR
Second Line : POB 3 SUITE 402
City : BIRMINGHAM
State : AL
Zip : 35205-1606
Country : US
Telephone Number : 205-933-9236
Fax Number : 205-933-9213
Provider Business Practice Location Address
First Line : 3686 GRANDVIEW PKWY 530
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3326
Country : US
Telephone Number : 205-933-9277
Fax Number : 205-212-3544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 09/30/2015

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