Individual
DR. CHARLES S. DRUMMOND III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 NW ATLANTIC ST, TULLAHOMA, TN 37388-3566
(931) 841-3948
(931) 841-3906
Mailing address
PO BOX 1958, TULLAHOMA, TN 37388
(931) 841-3948
(931) 841-3906
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD39435
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
39435
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105344
BLUE CROSS BLUE SHEILD OF TENNESSEE
TN
01
—
7468194
CIGNA
TN
Enumeration date
07/12/2006
Last updated
10/27/2016
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