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Contact Information

CHARLES B HERRIN, MD
2300 PAVILION DR
KINGSPORT, TN37660-4622
 Phone: 423-857-5571
 Fax: 423-857-5237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CHARLES B HERRIN · (Male)

NPI # 1821039512
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD11902
  • TN Medicaid 3837993
  • TN Other TN01X8 JOHN DEERE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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