Individual
CHARLES B ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988 OAK RIDGE TPKE, STE 200, OAK RIDGE, TN 37830-6930
(865) 483-4366
(865) 483-5957
Mailing address
988 OAK RIDGE TPKE, STE 200, OAK RIDGE, TN 37830-6930
(865) 483-4366
(865) 483-5957
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
54077
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021336
—
TN
Enumeration date
03/29/2010
Last updated
06/24/2020
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