Individual
MR. CHARLES P ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
367 HOSPITAL BLVD, JACKSON, TN 38305-2080
(731) 661-2345
(731) 661-2346
Mailing address
367 HOSPITAL BLVD, JACKSON, TN 38305-2080
(731) 661-2345
(731) 661-2346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36143
TN LICENSE
TN
Enumeration date
03/21/2006
Last updated
11/04/2014
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