Charles Ivy Lee in Huntsville - General Practice

Charles Ivy Lee - NPI 1255310363

Charles Ivy Lee is a General Practice in Huntsville, Alabama. Charles Ivy Lee practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Ivy Lee is 1255310363. The last update date is 2018-03-19.

Charles Ivy Lee's current location address is 717 Pratt Ave Ne, Huntsville, Alabama. You can contact this provider via phone number 2568082273. The mailing address for Charles Ivy Lee is 717 Pratt Ave Ne, Huntsville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Ivy Lee
Address 717 Pratt Ave Ne, Huntsville, Alabama
Phone Number 2568082273
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1255310363
Provider Enumeration Date 2006-01-17
Last Updated Date 2018-03-19

Provider Mailing Address Detail

Address 717 Pratt Ave Ne
City Huntsville
State Alabama (AL)
Post Code 358013645
Phone Number 2568082273
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 14864
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24029 AL --
51024029 AL BCBS HH LOCATIONS
51523698 AL BCBS MADISON SURG CTR
9975795 AL --
51019925 AL BCBS- AL INDIV

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FAQs about Charles Ivy Lee

What is the unique identification code assigned to Charles Ivy Lee by the Centers for Medicare & Medicaid Services?

The Charles Ivy Lee has been issued the NPI (National Provider Identifier) 1255310363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Charles Ivy Lee's facilities are situated?

The facilities of Charles Ivy Lee are physically located at the following address: 717 Pratt Ave Ne, Huntsville, AL, 358013645.

What is Charles Ivy Lee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles Ivy Lee is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255310363 to Charles Ivy Lee?

The Centers for Medicare & Medicaid Services assigned the 1255310363 to Charles Ivy Lee on 2006-01-17.

As of what date were the details pertaining to Charles Ivy Lee last refreshed?

The information related to the Charles Ivy Lee, including its address, specialty, and other relevant details, was last updated on 2018-03-19.

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