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Individual

CHARLES H AUST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1028539
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100347930
IN
Enumeration date
07/03/2006
Last updated
03/10/2011
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