NPI 1710073820 · live from the CMS NPI Registry
Charles G. Fagan, M.D.
Psychiatry & Neurology, Neurology in Birmingham, AL. National Provider Identifier 1710073820, active.
NPI record
| NPI | 1710073820 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 832 Princeton Ave Sw, Birmingham, AL 35211 |
| Practice phone | 205-503-4281 |
| Mailing address | P.O. Box 12366, Birmingham, AL 35202 |
| Enumerated | October 5, 2006 |
| Last updated | August 1, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 13522 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.