Individual
WALTER W CHILES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9245 PARK WEST BLVD, KNOXVILLE, TN 37923-4425
(865) 690-3811
(865) 694-7621
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0347510001
MEDICARE NSC
TN
05
—
3329829
—
TN
Enumeration date
11/03/2005
Last updated
03/21/2025
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