Individual
CHARLES W SIENKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 EXECUTIVE DRIVE, HIXSON, TN 37343-7908
(423) 826-0800
(423) 826-0810
Mailing address
1035 EXECUTIVE DRIVE, HIXSON, TN 37343-7908
(423) 826-0800
(423) 826-0810
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
9242
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001741
BLUE CROSS
TN
01
—
2008308
BLUE CROSS GROUP ID
TN
Enumeration date
06/15/2006
Last updated
03/24/2021
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