| Dr Charles Stephen Perry, MD | |
|
211 N Main St, Greeneville, TN 37745-3815 | |
| (423) 787-6050 | |
| (423) 787-6054 |
| Full Name | Dr Charles Stephen Perry |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 211 N Main St, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710919766 | NPI | - | NPPES |
| 3496837 | Medicaid | TN | |
| 64058795 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD36854 (Tennessee) | Primary |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Stephen Perry, MD 1675 E Allens Bridge Rd, Greeneville, TN 37743-5565 Ph: () - | Dr Charles Stephen Perry, MD 211 N Main St, Greeneville, TN 37745-3815 Ph: (423) 787-6050 |
Mrs. Kelsey Jean Little, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 | |
Dr. Justin Alan Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950 | |
Todd William Aiken, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-0950 Fax: 423-278-1973 | |
Dr. John Applegate, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973 | |
Douglas Catron Cobble, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 | |
Mr. Timothy Louis Fuller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 East Vann Road, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973 | |
Ms. Kimberly R Fisher, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 |