Charles E Andereson Md Pc in Tullahoma - General Practice

Charles E Andereson Md Pc - NPI 1174576920

Charles E Andereson Md Pc is a General Practice in Tullahoma, Tennessee. Charles E Andereson Md Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles E Andereson Md Pc is 1174576920. The last update date is 2020-08-22.

Charles E Andereson Md Pc's current location address is 2336 N Jackson St, Tullahoma, Tennessee. You can contact this provider via phone number 9313930600 and fax number 9313930656. The mailing address for Charles E Andereson Md Pc is 2336 N Jackson St, Tullahoma, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles E Andereson Md Pc
Address 2336 N Jackson St, Tullahoma, Tennessee
Phone Number 9313930600
Fax Number 9313930656
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Anderson E Charles
Credentials MD
Telephone Number 9313930600

NPI Number Detail

NPI Number 1174576920
Provider Enumeration Date 2006-05-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2336 N Jackson St
City Tullahoma
State Tennessee (TN)
Post Code 37388
Phone Number 9313930600
Fax Number 9313930656

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No MD14122
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3197128 TN --
4009762 TN BCBS OF TN
7240951 TN CIGNA HEALTH CARE

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FAQs about Charles E Andereson Md Pc

What is the unique 10-digit identifier code assigned to Charles E Andereson Md Pc by the Centers for Medicare & Medicaid Services?

The Charles E Andereson Md Pc has been issued the NPI (National Provider Identifier) 1174576920 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Charles E Andereson Md Pc is physically located?

The Charles E Andereson Md Pc is situated at the following address: 2336 N Jackson St, Tullahoma, TN 37388.

What is Charles E Andereson Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles E Andereson Md Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

When did Charles E Andereson Md Pc receive its 1174576920 assignment?

The Charles E Andereson Md Pc was assigned its 1174576920 on 2006-05-19, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Charles E Andereson Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles E Andereson Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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