Individual
NATHANIEL DAVID CHARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 798-4677
Mailing address
955 BELMONT RD, CLARKSVILLE, TN 37040-7709
(314) 604-5303
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
03/04/2025
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