Charles G. Fagan, M.D.
Psychiatry & Neurology, Neurology in Birmingham, AL. Individual provider (NPI-1).
NPI number1710073820
StatusActive
Last updated in NPPESAug 1, 2008
Details
- NPI
- 1710073820
- Entity type
- Individual (NPI-1)
- Name
- Charles G. Fagan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Aug 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 13522 | AL | Yes |
Practice location
832 Princeton Ave SwBirmingham, AL 35211-1320
Phone 205-503-4281 · Fax 205-503-4285
Mailing address
P.O. Box 12366Birmingham, AL 35202-2366
Phone 205-780-7101 · Fax 205-206-8338
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