CHARLES R TESSIER IV DO PC; NPI #1548953052

Contact Information

CHARLES R TESSIER IV DO PC

304 W CHURCH ST
LEWISBURG, TN 37091-2730

Phone: 931-359-3551
Fax: 931-359-8421
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for CHARLES R TESSIER IV DO PC

NPI Number	`1548953052`
LBN Legal business name	CHARLES R TESSIER IV DO PC
Authorized official	CHARLES TESSIER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/31/2023
Last updated	05/31/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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