Individual
SAMANTHA M CHARTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 S NATIONAL AVE, ATHLETIC MEDICAL AND REHAB, SPRINGFIELD, MO 65897
(417) 836-5461
(417) 836-6101
Mailing address
3636 TALILUNA AVE, APT 227, KNOXVILLE, TN 37919-7813
(757) 374-0279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
313005
TN
Other
Enumeration date
07/31/2012
Last updated
10/28/2014
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