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1013971415
CHARLES EDGERTON
HUNTSVILLE, AL
NPI
1013971415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-04-13
Last Update Date
2007-09-06
Business Address
-- CHARLES EDGERTON PAA
721 MADISON STREET
HUNTSVILLE, AL 35801
Phone number: 256-880-6711
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Mailing Address
-- CHARLES EDGERTON PAA
PO BOX 288
HUNTSVILLE, AL 35804-0288
Phone number: 256-880-6711
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