Individual
DR. CHARLES B TREASURE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Mailing address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
27816
TN
207RI0011X
Interventional Cardiology Physician
Primary
27816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018045
—
TN
Enumeration date
10/27/2005
Last updated
09/21/2020
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