Huddleston, Charles I

Huddleston, Charles I is an individual health care provider with primary practice located at 200 Fort Sanders West Blvd Suite 102, Knoxville TN 37922-3357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Huddleston, Charles I can be contacted via phone (865) 342-5811.

Contact Information

Primary practice address
200 Fort Sanders West Blvd Suite 102 Knoxville TN 37922-3357
Phone: (865) 342-5811
Fax: (865) 342-5857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5764 Tennessee

Profile Details

NPI number 1518925825
LBN Legal business name Huddleston, Charles I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518925825 NPPES
Tennessee Other 2005934 BLUE CROSS
Tennessee Other 4034632 BLUE CROSS
Tennessee MEDICAID 3376258 BLUE CROSS

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