Individual
CHARLES R NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 S JEFFERSON AVE, COOKEVILLE, TN 38501-3424
(931) 854-9274
(931) 854-9276
Mailing address
125 S JEFFERSON AVE, COOKEVILLE, TN 38501-3424
(931) 854-9274
(931) 854-9276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J0618
TX
207W00000X
Ophthalmology Physician
Primary
J0618
TX
Other
Enumeration date
02/05/2007
Last updated
05/26/2017
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