Individual
CHARLES THOMAS BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 TUSCULUM BLVD, GREENEVILLE, TN 37745
(423) 636-1344
(423) 636-8952
Mailing address
1355 TUSCULUM BLVD, GREENEVILLE, TN 37745
(423) 636-1344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5333
TN
Other
Enumeration date
11/20/2006
Last updated
11/10/2011
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