Individual
CHARLES JEFFERY CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
1880 LINCOLN ST, KINGSPORT, TN 37664-5190
(423) 378-7311
Mailing address
4162 SKYLAND DR, KINGSPORT, TN 37664-3558
(423) 723-4442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4135
TN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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