Individual
CHARLES W PIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-4430
(423) 698-3622
Mailing address
601 DODDS AVE, CHATTANOOGA, TN 37404-3911
(423) 495-4430
(495) 698-3622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000015574
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30374641
—
TN
01
—
510-03699
BCBS AL
AL
01
—
P00338267
RR MEDICARE
—
Enumeration date
05/19/2006
Last updated
01/26/2010
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