Provider Demographics
NPI:1881670370
Name:MCGAHEY, CHARLES MARVIN JR (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:MARVIN
Last Name:MCGAHEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3515 CLOVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1301
Mailing Address - Country:US
Mailing Address - Phone:256-284-7706
Mailing Address - Fax:256-284-7711
Practice Address - Street 1:12490 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-1062
Practice Address - Country:US
Practice Address - Phone:256-284-7706
Practice Address - Fax:256-284-7711
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2025-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL12014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL338924Medicaid
AL51014729OtherBLUECROSSBLUESHIELD
ALE368OtherMEDICARE