Individual
DR. CHARLES JOSEPH ALLDERDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
(865) 374-2029
Mailing address
1924 ALCOA HIGHWAY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK, KNOXVILLE, TN 37920
(865) 305-9340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
61180
TN
207RI0011X
Interventional Cardiology Physician
Primary
61180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q058411
—
TN
Enumeration date
05/17/2013
Last updated
08/14/2020
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