Individual
CHARLES LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1607 S LOCUST AVE, LAWRENCEBURG, TN 38464-4011
(931) 762-6571
(865) 291-3228
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
020051
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047575
—
TN
01
—
4093883
BCBS
TN
01
—
4160360
BCBS
TN
01
—
890-24488
BCBS
AL
01
—
P00231560
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
11/07/2007
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