Tomberlin, Charles Gary

Tomberlin, Charles Gary is an sole proprietor health care provider with primary practice located at 848 S 3 Notch St , Andalusia AL 36420-5320. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Tomberlin, Charles Gary can be contacted via phone (334) 222-5673.

Contact Information

Primary practice address
848 S 3 Notch St Andalusia AL 36420-5320
Phone: (334) 222-5673
Fax: (334) 222-8754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 3233 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3233 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 3233 Alabama

Profile Details

NPI number 1679539902
LBN Legal business name Tomberlin, Charles Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated May 21st, 2008 - about 18 years 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 1679539902 NPPES
Alabama MEDICAID 000006385

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