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Contact Information

CHARLES G SEWALL, MD
800 OAK RIDGE TPKE
SUITE C-100
OAK RIDGE, TN37830-6957
 Phone: 865-483-2288
 Fax: 865-482-4400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHARLES G SEWALL · (Male)

NPI Number 1750374476
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2005
Last updated 05/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 28475
  • TN License # 021441
  • KY Medicaid 64799125
  • TN Medicaid 3059927
  • KY Other 000000252844 ANTHEM BLUE CROSS
  • KY Other 620897289002 BLUEGRASS
  • KY Other 4532 CHA
  • KY Other C10003 CUMBERLAND HEALTHCARE
  • TN Other 4666257 AETNA
  • TN Other 3028800 BLUE CROSS BLUE SHIELD
  • TN Other 100020676 PHP TENNCARE
  • TN Other 62089728903 UHC RIVER VALLEY
Hospital affiliation(s)
  • METHODIST MEDICAL CENTER OF OAK RIDGE - (Acute Care)
    990 OAK RIDGE TURNPIKE BOX 529
    OAK RIDGE, TN 37830
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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