Lee, Charles Ivy

Lee, Charles Ivy is an sole proprietor health care provider with primary practice located at 4025 Pepperwood Cir Sw Ste C , Huntsville AL 35801-7438. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lee, Charles Ivy can be contacted via phone (256) 715-8193.

Contact Information

Primary practice address
4025 Pepperwood Cir Sw Ste C Huntsville AL 35801-7438
Phone: (256) 715-8193
Fax: (256) 715-8195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 14864 Alabama
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 00014864 Alabama
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14864 Alabama

Profile Details

NPI number 1255310363
LBN Legal business name Lee, Charles Ivy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Feb 18th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255310363 NPPES
Alabama Other 51523698 BCBS MADISON SURG CTR
Alabama Other 051019925 BCBS MADISON SURG CTR
Alabama MEDICAID 000024029 BCBS MADISON SURG CTR
Alabama MEDICAID 009975795 BCBS MADISON SURG CTR
Alabama Other 51024029 BCBS MADISON SURG CTR

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