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Individual

CHARLES PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 MEADOW VIEW RD STE 4, BRISTOL, TN 37620-1726
(423) 844-6935
Mailing address
4105 FORT HENRY DR STE 300, KINGSPORT, TN 37663-2256
(423) 239-1550

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TN

Other

Enumeration date
02/10/2014
Last updated
12/11/2024
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