person
Charles Matthew Street, PA
Medical Physician Assistant in Oak Ridge, Tennessee
NPI 1255981940

Charles Matthew Street is a Medical Physician Assistant based in Oak Ridge, TN and is specialized in Medical. Charles Matthew Street practices in Oak Ridge, TN and has the professional credentials of PA. The NPI Number for Charles Matthew Street is 1255981940 and holds a License No. (Tennessee).

The current practice location address for Charles Matthew Street is 170 W Tennessee Ave, Oak Ridge, TN and can be reached out via phone at 865-482-1788 and via fax at 865-482-1789.

Location: 170 W Tennessee Ave, Oak Ridge, TN, 37830-6509
person
Provider Profile Details
NPI Number
1255981940
Provider Name
Charles Matthew Street
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
170 W Tennessee Ave, Oak Ridge, TN, 37830-6509
Phone Number
865-482-1788
Fax Number
865-482-1789
Provider Enumeration Date
09/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
170 W Tennessee Ave
City
State
Zip
37830-6509
Phone Number
865-482-1788
Fax Number
865-482-1789
person
Provider Business Mailing Address Details
Address
170 W Tennessee Ave
City
State
Zip
37830-6509
Phone Number
865-482-1788
Fax Number
865-482-1789
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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