Individual
CHARLES DOTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 HESTER LN, TAZEWELL, TN 37879-5088
(423) 851-4594
Mailing address
PO BOX 416, GREENEVILLE, TN 37744-0416
(323) 639-0187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1366442782
TN
Other
Enumeration date
02/03/2017
Last updated
09/19/2018
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