Provider Demographics
NPI:1174542484
Name:SOLOMON, CHARLES P JR (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:P
Last Name:SOLOMON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1010 TUSCALOOSA AVE SW
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1619
Mailing Address - Country:US
Mailing Address - Phone:205-781-0350
Mailing Address - Fax:205-206-8338
Practice Address - Street 1:1010 TUSCALOOSA AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1619
Practice Address - Country:US
Practice Address - Phone:205-781-0350
Practice Address - Fax:205-781-0355
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC74122Medicare UPIN