Individual
CHARLES L BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
273 HIGHWAY 11 E, BULLS GAP, TN 37711-3433
(423) 393-4146
(423) 393-4377
Mailing address
273 HIGHWAY 11 E STE E, BULLS GAP, TN 37711-3434
(423) 393-4146
(423) 393-4377
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO1551
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
1551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300057
—
TN
Enumeration date
03/27/2006
Last updated
02/12/2026
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