person
Mr. Charles David Dietzen, MD
General Practice Physician in Chattanooga, Tennessee
NPI 1417964248

Charles David Dietzen is a General Practice Physician based in Chattanooga, TN. Charles David Dietzen practices in Chattanooga, TN and has the professional credentials of MD. The NPI Number for Charles David Dietzen is 1417964248 and holds a License No. 009627 (Tennessee).

The current practice location address for Charles David Dietzen is 4355 Highway 58, Chattanooga, TN and can be reached out via phone at 423-892-4289 and via fax at 423-892-8301.

Location: 4355 Highway 58, Chattanooga, TN, 37415-6321
person
Provider Profile Details
NPI Number
1417964248
Provider Name
Charles David Dietzen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4355 Highway 58, Chattanooga, TN, 37415-6321
Phone Number
423-892-4289
Fax Number
423-892-8301
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4355 Highway 58
City
State
Zip
37416-2939
Phone Number
423-892-4289
Fax Number
423-892-8301
person
Provider Business Mailing Address Details
Address
4355 Highway 58
City
State
Zip
37416-2939
Phone Number
423-892-4289
Fax Number
423-892-8301
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
009627 (Tennessee)
Definition
Definition to come...
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