Individual
CHARLES A DIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR STE 100A, LENOIR CITY, TN 37772-5676
(865) 988-8796
(865) 988-8798
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528678
—
TN
Enumeration date
05/11/2012
Last updated
10/12/2023
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