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Individual

CHARLIE M. BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 909-0003
Mailing address
10321 KINGSTON PIKE, KNOXVILLE, TN 37922-3224
(865) 584-3565
(865) 909-0003

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN11556
TN
363L00000X
Nurse Practitioner
RN151508
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3642540
TN
01
4115099
BLUE CROSS
TN
01
P00312077
RAILROAD MEDICARE
TN
Enumeration date
07/10/2006
Last updated
01/11/2017
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