Doctor Name: | CHARLES MICHAEL MEAD |
NPI Number: | 1205833761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 00017189 |
Business Practice Address: | 502 Montgomery Hwy Ste 101 Vestavia Hills, AL - 352161863 |
Business Phone Number: | 2058230882 |
Business Fax Number: | |
Mailing Address: | 502 Montgomery Hwy, Ste 101 BIRMINGHAM |
State: | AL |
Postal Code: | 352161862 |
Phone Number: | 2058230882 |
Fax Number: | 2058230872 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 01/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 00017189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |