Individual
CHARLES G SEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 OAK RIDGE TPKE, SUITE C-100, OAK RIDGE, TN 37830-6957
(865) 483-2288
(865) 482-4400
Mailing address
800 OAK RIDGE TPKE, SUITE C-100, OAK RIDGE, TN 37830-6957
(865) 483-2288
(865) 482-4400
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
021441
TN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
28475
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000252844
ANTHEM BLUE CROSS
KY
01
—
100020676
PHP TENNCARE
TN
01
—
3028800
BLUE CROSS BLUE SHIELD
TN
05
—
3059927
—
TN
01
—
4532
CHA
KY
01
—
4666257
AETNA
TN
01
—
620897289002
BLUEGRASS
KY
01
—
62089728903
UHC RIVER VALLEY
TN
05
—
64799125
—
KY
01
—
C10003
CUMBERLAND HEALTHCARE
KY
Enumeration date
08/28/2005
Last updated
05/17/2023
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