Individual
CHARLES G DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 OAK RIDGE TNPK, #A401, OAK RIDGE, TN 37830
(865) 481-0094
(865) 481-0101
Mailing address
800 OAK RIDGE TNPK, #A401, OAK RIDGE, TN 37830
(865) 481-0094
(865) 481-0101
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD0000018930
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3036321
—
TN
01
—
48708
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/12/2006
Last updated
07/08/2007
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