Individual
CHARLES ALLEN RAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 GREENBELT DR, MARYVILLE, TN 37804-5702
(865) 982-0032
(866) 307-8963
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159594
—
TN
Enumeration date
09/06/2006
Last updated
07/23/2020
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