Individual
DR. CHARLES T WOMACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 528-5547
(931) 526-2699
Mailing address
320 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 528-5547
(931) 526-2699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD9126
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1940007
UNITED HEALTHCARE
TN
01
—
2006424
BLUE CROSS BLUE SHEILD
TN
05
—
3378641
—
TN
01
—
340012592
RAILROAD MEDICARE
TN
01
—
8720322
CIGNA HEALTHCARE
TN
Enumeration date
08/29/2005
Last updated
01/03/2013
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