Harris, Charles D

Harris, Charles D is an individual health care provider with primary practice located at 5000 Alpha Ln , Hixson TN 37343-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Charles D can be contacted via phone (423) 870-1662.

Contact Information

Primary practice address
5000 Alpha Ln Hixson TN 37343-4054
Phone: (423) 870-1662
Fax: (423) 877-4845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000011415 Tennessee

Profile Details

NPI number 1972636983
LBN Legal business name Harris, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Dec 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972636983 NPPES
Tennessee Other 080163948 MEDICARE RR
Tennessee MEDICAID 3168293 MEDICARE RR

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