Provider Demographics
NPI:1689760704
Name:ABNEY, CHARLES EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:EUGENE
Last Name:ABNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3611 WINDY RDG
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-3676
Mailing Address - Country:US
Mailing Address - Phone:205-343-6979
Mailing Address - Fax:205-490-2374
Practice Address - Street 1:657 HELEN KELLER BLVD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-2983
Practice Address - Country:US
Practice Address - Phone:205-343-6979
Practice Address - Fax:205-490-2374
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21941207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00990323OtherMEDICARE RAILROAD
ALP02382514OtherRAILROAD
AL051531033OtherBCBS
AL512-74338OtherBLUE CROSS BLUE SHILD
AL127820Medicaid
AL285024Medicaid
P00269346OtherMEDICARE RAILROAD
AL009933262Medicaid
AL51116107OtherBLUE CROSS/BLUE SHIELD OF ALABAMA