Individual
CHARLES ANTHONY VILLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 274-8600
(423) 390-6845
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101265060
VA
207R00000X
Internal Medicine Physician
58256
TN
207RC0000X
Cardiovascular Disease Physician
0055644
FL
207RC0000X
Cardiovascular Disease Physician
Primary
0101265060
VA
207RC0000X
Cardiovascular Disease Physician
58256
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061694000
—
FL
Enumeration date
09/05/2006
Last updated
01/05/2026
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