Individual
DR. CHARLES M NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
ONE NORTHGATE PARK, SUITE 201, CHATTANOOGA, TN 37415
(423) 870-5647
(423) 870-5545
Mailing address
ONE NORTHGATE PARK, SUITE 201, CHATTANOOGA, TN 37415
(423) 870-5647
(423) 870-5545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000000887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3092466
BC
TN
Enumeration date
11/29/2006
Last updated
07/08/2007
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