# CHARLES R TESSIER IV DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548953052
- **Authorized official:** CHARLES R TESSIER IV DO (OWNER)
- **Authorized official phone:** (931) 841-1777

## Contact information

- **Practice address:** 304 W CHURCH ST, LEWISBURG, TN 37091-2730
- **Practice address phone:** (931) 359-3551
- **Practice address fax:** (931) 359-8421
- **Mailing address:** 304 W CHURCH ST, LEWISBURG, TN 37091-2730
- **Mailing address phone:** (931) 359-3551
- **Mailing address fax:** (931) 359-8421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 05/31/2023