Individual
CHARLES HUGHES HUBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
MEMPHIS VA HOSPITAL, DEPT. NEUROLOGY, 1030 JEFFERSON AVENUE, MEMPHIS, TN 38104
(901) 577-8990
(901) 577-7486
Mailing address
MEMPHIS VA HOSPITAL, DEPT. NEUROLOGY, 1030 JEFFERSON AVENUE, MEMPHIS, TN 38104
(901) 577-8990
(901) 577-7486
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5460
TN
2084P0800X
Psychiatry Physician
MD5460
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31020301
MEDICARE
TN
05
—
3102034
—
TN
01
—
4159798
BCBS OF TN
TN
Enumeration date
01/05/2007
Last updated
07/30/2019
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