Individual
CHARLES WINTERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1037 E OLD HICKORY BLVD, MADISON, TN 37115-4160
(615) 860-0228
(615) 865-2799
Mailing address
1037 E OLD HICKORY BLVD, MADISON, TN 37115-4160
(615) 860-0228
(615) 865-2799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD16862
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3018804
—
TN
Enumeration date
08/29/2005
Last updated
10/17/2020
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