Individual
DR. CHARLES HAL BRUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2911 BRUNSWICK RD, MEMPHIS, TN 38133
(901) 821-0338
(901) 507-8298
Mailing address
PO BOX 1000 DEPT 0510, MEMPHIS, TN 38133-0510
(901) 821-0338
(901) 821-0341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14899
—
MS
01
—
2005394
BCBS
TN
05
—
3159926
—
TN
05
—
Q027409
—
TN
Enumeration date
08/01/2006
Last updated
06/01/2018
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