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Individual

CHARLES T BRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
979 E 3RD ST, STE B 801, CHATTANOOGA, TN 37403-2136
(423) 267-2392
(423) 778-2433
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0770

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD009287
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q022086
TENNCARE
TN
Enumeration date
08/02/2005
Last updated
07/11/2016
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