Individual
CHARLES E GAINES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7013
(423) 431-7130
Mailing address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7013
(423) 431-7130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO01281
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3306064
—
TN
01
—
4109591
BCBS
TN
Enumeration date
04/26/2006
Last updated
07/08/2007
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