Charles G Mardis (NPI# 1487752911, PAC ID# 6406749605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1487752911 |
| PAC ID by PECOS | 6406749605 |
| Professional Enrollment ID | I20181210000393 |
| Full Name | Charles G Mardis |
| Organization Legal Name | POARCH BAND OF CREEK INDIANS |
| Address |
429 Buford L Rolin Dr Atmore AL 36502-5190 |
| Phone Number | 2513689136 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830188085 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 429 Buford L Rolin Dr, Atmore, AL 36502-5190 | 2513689136 | POARCH BAND OF CREEK INDIANS |
| Organization Legal Name | POARCH BAND OF CREEK INDIANS |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendi E Kirby | Physician Assistant | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Brittany A Martin | Physical Therapy | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Theodore Woods Jr. | General Practice | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Todd D Luellen | Psychiatry | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Karen A Flanagan | Family Medicine | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Marsha M Fendley | Registered Dietitian Or Nutrition Professional | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Mallory Mullis | Physician Assistant | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Street Address |
429 BUFORD L ROLIN DR |
| City | ATMORE |
| State | AL |
| Zip | 36502-5190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendi E Kirby | Physician Assistant | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Brittany A Martin | Physical Therapy | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Theodore Woods Jr. | General Practice | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Todd D Luellen | Psychiatry | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Karen A Flanagan | Family Medicine | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Marsha M Fendley | Registered Dietitian Or Nutrition Professional | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Amanda Janette Cobb | Optometry | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 | |
| Mallory Mullis | Physician Assistant | Poarch Band of Creek Indians | 429 Buford L Rolin Dr, Atmore, AL 36502-5190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney S Owens | Chiropractic | 200 N Main St, Atmore, AL 36502-1714 | |
| Hugh D Long | Chiropractic | 202 7th Ave, Atmore, AL 36502-2604 | |
| Lena S Hardy | Physical Therapy | 104 5th Ave, Atmore, AL 36502-2617 | |
| Frances D Salter | Family Medicine | 112 6th Aveune, Atmore, AL 36502-2622 | |
| William Shane Harigel | Family Medicine | 402 Medical Park Dr, Atmore, AL 36502-3004 | |
| Sheldon Jon Harigel | Family Medicine | 402 Medical Park Dr, Atmore, AL 36502-3004 | |
| Jonnye-lea M Thibodeau | Nurse Practitioner | Escambia County Alabama Community Hospitals, Inc | 401 Medical Park Dr, Atmore, AL 36502-3006 |
| Hal J Clark | Diagnostic Radiology | Alabama Coastal Radiology PC | 401 Medical Park Dr, Atmore, AL 36502-3006 |
| John T Renz | Diagnostic Radiology | Alabama Coastal Radiology PC | 401 Medical Park Dr, Atmore, AL 36502-3006 |
| William Edgar Smith Jr. | Orthopedic Surgery | Southern Orthopaedics and Sports Medicine | 401 Medical Park Dr, Atmore, AL 36502-3006 |
| Find all physicians in zip 36502 | |||
| City | ATMORE |
| Zip Code | 36502 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATMORE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles G Mardis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.