Individual
CHARLES B HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 857-5571
(423) 857-5237
Mailing address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 857-5571
(423) 857-5237
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MD11902
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3837993
—
TN
01
—
TN01X8
JOHN DEERE
TN
Enumeration date
06/10/2006
Last updated
07/08/2007
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