| Charles W. Nolen, Jr., M.d., P.c. | |
|
1705 1st Way Nw Fayette AL 35555-1307 | |
| (205) 932-7821 | |
| Not Available |
| Full Name | Charles W. Nolen, Jr., M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 1st Way Nw, Fayette, Alabama |
| Authorized Official Name and Position | Charles W. Nolen, Jr. (OWNER) |
| Authorized Official Contact | 2059327821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W. Nolen, Jr., M.d., P.c. 1705 1st Way Nw P.o. Box 190 Fayette AL 35555-1307 Ph: (205) 932-7821 | Charles W. Nolen, Jr., M.d., P.c. 1705 1st Way Nw Fayette AL 35555-1307 Ph: (205) 932-7821 |
| NPI Number | 1891842514 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537186374 |
|---|---|
| Medicare Enrollment ID | O20051031000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891842514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14531 (Alabama) | Primary |
| Provider Name | Charles William Nolen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346289105 PECOS PAC ID: 3173647922 Enrollment ID: I20100831000155 |
Jon E. Sanford,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 17th Ct Ne, Fayette, AL 35555 Phone: 205-932-3900 Fax: 205-932-3941 | |
Martha Jo Christian Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Temple Ave N, Fayette, AL 35555 Phone: 205-932-2497 Fax: 205-932-2539 | |
Frederick L. Yerby, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Temple Ave N, Suite 6, Fayette, AL 35555 Phone: 205-932-7750 Fax: 205-932-6293 | |
Medcenter Fayette, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 17th Ct Ne, Fayette, AL 35555 Phone: 205-330-1707 Fax: 205-333-0782 | |
Harold E. Breitling, Jr., M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1716 Temple Ave N, Suite 5, Fayette, AL 35555 Phone: 205-932-3978 Fax: 205-932-3990 | |
Fmc Medical Clinic - Fayette Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1653 Temple Ave N Ste 1, Fayette, AL 35555 Phone: 205-932-1112 |