Individual
DR. CHARLES L MCBRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5022 OLD GODSEY LANE, HAMILL PROFESSIONAL CENTRE SUITE 1, HIXSON, TN 37343
(423) 870-9567
(423) 870-9567
Mailing address
5022 OLD GODSEY LANE, HAMILL PROFESSIONAL CENTRE SUITE 1, HIXSON, TN 37343
(423) 870-9567
(423) 870-5331
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7108
TN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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