institution
Charles E Andereson Md Pc
General Practice Physician in Tullahoma, Tennessee
NPI 1174576920

Charles E Andereson Md Pc is a General Practice Physician based in Tullahoma, TN. Charles E Andereson Md Pc practices in Tullahoma, TN. The NPI Number for Charles E Andereson Md Pc is 1174576920 and holds a License No. MD14122 (Tennessee).

The current practice location address for Charles E Andereson Md Pc is 2336 N Jackson St, Tullahoma, TN and can be reached out via phone at 931-393-0600 and via fax at 931-393-0656. You can also correspond with Charles E Andereson Md Pc through the mailing address at 2336 N JACKSON ST, TULLAHOMA, TN - 37388 (mailing address contact number: 931-393-0600).

Location: 2336 N Jackson St, Tullahoma, TN, 37388
institution
Provider Profile Details
NPI Number
1174576920
Provider Name
Charles E Andereson Md Pc
Credential
Provider Entity Type
Organization
Address
2336 N Jackson St, Tullahoma, TN, 37388
Phone Number
931-393-0600
Fax Number
931-393-0656
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3197128 05 TN
4009762 01 TN BCBS OF TN
7240951 01 TN CIGNA HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
2336 N Jackson St
City
State
Zip
37388
Phone Number
931-393-0600
Fax Number
931-393-0656
person
Provider Business Mailing Address Details
Address
2336 N Jackson St
City
State
Zip
37388
Phone Number
931-393-0600
Fax Number
931-393-0656
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD14122 (Tennessee)
Definition
Definition to come...
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