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Individual

IVERSON CHARLES BELL JR.

Active
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Individual

IVERSON CHARLES BELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46750
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003181445A
GA
05
01423718
MS
05
1073529046
MO
05
1521869
TN
05
185454
AL
Enumeration date
07/31/2006
Last updated
02/21/2025
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