Charles Theodore Reveley JR., MD

NPI #1245265982 in Mountain Brk, Alabama

Provider Information

NPI Number
1245265982
Entity Type
Individual
Name
Charles Theodore Reveley JR., MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
MD
Enumeration Date
Jul 11, 2006
Last Updated
Apr 7, 2012

Practice Location

Address
400 OFFICE PARK DR
Address 2
SUITE 110
State
Alabama
ZIP Code
35223-3408
Phone
(205) 870-8415

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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