White, Charles Wesley

White, Charles Wesley is an individual health care provider with primary practice located at 180 Old Hickory Blvd Ste L , Jackson TN 38305-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Charles Wesley can be contacted via phone (731) 661-2750.

Contact Information

Primary practice address
180 Old Hickory Blvd Ste L Jackson TN 38305-2500
Phone: (731) 661-2750
Fax: (731) 664-6817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21679 Tennessee

Profile Details

NPI number 1689665614
LBN Legal business name White, Charles Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 19th, 2018 - about 8 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 1689665614 NPPES
Tennessee Other 626001636 HEALTH PARTNERS
Tennessee Other 626001636 HEALTH PARTNERS
Tennessee MEDICAID 3061622 HEALTH PARTNERS
Tennessee MEDICAID 3061623 HEALTH PARTNERS
Tennessee Other 4057255 HEALTH PARTNERS
Tennessee Other 27438 HEALTH PARTNERS
Tennessee Other 152667 HEALTH PARTNERS
Tennessee Other JT1042 HEALTH PARTNERS
Tennessee Other 626001636 HEALTH PARTNERS
Tennessee Other P00034970 HEALTH PARTNERS

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