Individual
DR. HARRY CHARLES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 COOLIDGE ST, SUITE 2, GREENEVILLE, TN 37743-4672
(423) 636-2300
(423) 636-0348
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD018609
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497837132
NPI
TN
01
—
1672216003
CIGNA
TN
01
—
1699819003
GROUP NPI
TN
05
—
3065352
—
TN
01
—
3159941
BLUE CROSS
TN
Enumeration date
10/20/2006
Last updated
06/17/2015
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