Individual
DR. DONALD CHARLES CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 425-6280
(731) 425-4922
Mailing address
PO BOX 3788, JACKSON, TN 38303-3788
(731) 425-6280
(731) 425-4922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD17640
TN
207P00000X
Emergency Medicine Physician
Primary
ME118552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024304
—
TN
Enumeration date
01/05/2006
Last updated
12/05/2019
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