CHARLES THEODORE REVELEY

MOUNTAIN BRK, AL
NPI1245265982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AL  MD.28076)
Enumeration Date2006-07-11
Last Update Date2012-04-07
Business Address
-- CHARLES THEODORE REVELEY MD
400 OFFICE PARK DR SUITE 110
MOUNTAIN BRK, AL 35223-3408
Phone number: 205-870-8415
Mailing Address
-- CHARLES THEODORE REVELEY MD
400 OFFICE PARK DR SUITE 110
BIRMINGHAM, AL 35223-3408
Phone number: 205-870-8415
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