Individual
CHARLES LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 GLENWOOD DR, STE E790, CHATTANOOGA, TN 37404-1178
(423) 495-3068
(423) 495-3022
Mailing address
725 GLENWOOD DR, STE E790, CHATTANOOGA, TN 37404-1178
(423) 495-3068
(423) 495-3022
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41776
TN
208800000X
Urology Physician
ME0053658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044337900
—
FL
05
—
1507399
—
TN
Enumeration date
04/11/2006
Last updated
06/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us