Perry, Charles Stephen

Perry, Charles Stephen is an individual health care provider with primary practice located at 211 N Main St , Greeneville TN 37745-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Perry, Charles Stephen can be contacted via phone (423) 787-6050.

Contact Information

Primary practice address
211 N Main St Greeneville TN 37745-3815
Phone: (423) 787-6050
Fax: (423) 787-6054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD36854 Tennessee

Profile Details

NPI number 1710919766
LBN Legal business name Perry, Charles Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 16th, 2020 - about 5 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 1710919766 NPPES
Tennessee MEDICAID 3496837
Tennessee MEDICAID 64058795

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