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Individual

DR. CHARLES ALBERT STILWELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
188 FRONT ST, SUITE 116-47, FRANKLIN, TN 37064-5078
(615) 778-9155
(615) 778-9154
Mailing address
188 FRONT ST, SUITE 116-47, FRANKLIN, TN 37064-5078
(615) 778-9155
(615) 778-9154

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000010690
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4100415
BLUECROSS/BLUESHIELD PIN
TN
01
MD0000010690
STATE LICENSE NUMBER
TN
Enumeration date
03/10/2006
Last updated
09/22/2014
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