Individual
CHARLES ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 OAKBANK LN, KNOXVILLE, TN 37921-5247
(865) 247-3285
Mailing address
4405 OAKBANK LN, KNOXVILLE, TN 37921-5247
(865) 247-3285
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
098683259
TN
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
098683259
TN
Other
Enumeration date
03/12/2024
Last updated
03/28/2024
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