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Individual

DR. CHARLES ROBERT HARMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2345 MURFREESBORO HWY, MANCHESTER, TN 37355-3206
(931) 728-5607
(931) 728-8354
Mailing address
PO BOX 299, MANCHESTER, TN 37349-0299
(931) 728-5607
(931) 728-8354

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD11931
TN
208VP0000X
Pain Medicine Physician
MD11931
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3871361
TN
01
4105336
BLUE SHIELD OF TN
TN
01
4275839
AETNA PPO
TN
Enumeration date
01/20/2006
Last updated
09/11/2025
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