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Individual

DR. CHARLES ROBERT ALVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1302 CONGRESS PKWY S, ATHENS, TN 37303-4907
(423) 745-7749
Mailing address
111 COUNTY ROAD 681, P O BOX 777, ETOWAH, TN 37331-5349
(423) 745-7749

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4100
TN

Other

Enumeration date
10/18/2011
Last updated
10/18/2011
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