| Charles E Andereson Md Pc | |
|
2336 N Jackson St Tullahoma TN 37388 | |
| (931) 393-0600 | |
| (931) 393-0656 |
| Full Name | Charles E Andereson Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 2336 N Jackson St, Tullahoma, Tennessee |
| Authorized Official Name and Position | Charles E Anderson (PRESIDENT) |
| Authorized Official Contact | 9313930600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Andereson Md Pc 2336 N Jackson St Po Box 1840 Tullahoma TN 37388 Ph: (931) 393-0600 | Charles E Andereson Md Pc 2336 N Jackson St Tullahoma TN 37388 Ph: (931) 393-0600 |
| NPI Number | 1174576920 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174576920 | NPI | - | NPPES |
| 3197128 | Medicaid | TN | |
| 4009762 | Other | TN | BCBS OF TN |
| 7240951 | Other | TN | CIGNA HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD14122 (Tennessee) | Primary |
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