Provider Demographics
NPI:1780623355
Name:NOYES, CHARLES A (PA)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:A
Last Name:NOYES
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Gender:M
Credentials:PA
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Mailing Address - Street 1:2871 ACTON ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2560
Mailing Address - Country:US
Mailing Address - Phone:205-939-0023
Mailing Address - Fax:205-939-4180
Practice Address - Street 1:2871 ACTON ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2560
Practice Address - Country:US
Practice Address - Phone:205-939-0023
Practice Address - Fax:205-939-4180
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-05-27
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Provider Licenses
StateLicense IDTaxonomies
ALPA-84363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009932892Medicaid
AL051515539OtherBLUE CROSS - 2660 10TH AV
AL051512985OtherBLUE CROSS - 48 MED PARK
AL009957575Medicaid
AL009911345Medicaid
AL051515113OtherBLUE CROSS - 860 MONT RD
AL009911345Medicaid
AL051515539OtherBLUE CROSS - 2660 10TH AV