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Individual
CHARLES LOVE
Active
Individual
CHARLES LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
020051
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047575
—
TN
01
—
4093883
BCBS
TN
01
—
4160360
BCBS
TN
01
—
890-24488
BCBS
AL
01
—
P00231560
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
11/07/2007
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