National Provider Identifier Database

CHARLES E ANDERESON MD PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CHARLES E ANDERESON MD PC
2336 N JACKSON ST
TULLAHOMA, TN37388
Phone: 931-393-0600
Fax: 931-393-0656
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for CHARLES E ANDERESON MD PC

NPI Number 1174576920
Legal business name
LBN
CHARLES E ANDERESON MD PC
Authorized official CHARLES ANDERSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: MD14122
  • TN Medicaid: 3197128
  • TN Other: 4009762 BCBS OF TN
  • TN Other: 7240951 CIGNA HEALTH CARE

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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