Individual
CHARLES WALLACE MARSH III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1500 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-4471
(931) 473-2217
Mailing address
605 CLARK BLVD, MC MINNVILLE, TN 37110-1951
(931) 473-8944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
TN3666
TN
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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