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Individual

CHARLES W JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6121 SHALLOWFORD RD STE 102, CHATTANOOGA, TN 37421-7810
(423) 877-4599
(423) 877-5611
Mailing address
PO BOX 4147, CHATTANOOGA, TN 37415
(423) 877-4599
(423) 877-5611

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
95
TN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
95
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003106308
BLUE CROSS BLUE SHIELS
TN
Enumeration date
03/21/2007
Last updated
05/13/2025
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