Individual
DR. CHARLES WAYNE DAMRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
106 ELK AVE S, FAYETTEVILLE, TN 37334-3050
(931) 433-1511
(931) 433-6854
Mailing address
2364 LEWISBURG HWY, FAYETTEVILLE, TN 37334-6473
(931) 433-6280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3418
TN
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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