Individual
DR. CHARNELL WHITFIELD MIDDLECOFF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
13092 N MAIN STREET, SUPER DRUGS, SOMERVILLE, TN 38068-1421
(901) 465-9888
(901) 465-6906
Mailing address
145 COUNTRY CLUB RD, SOMERVILLE, TN 38068
(901) 465-9020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3438
TN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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