Individual
DR. CHARLES T WOMACK III
Active
Individual
DR. CHARLES T WOMACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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