Individual
CHARLES G ANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1932 ALCOA HWY STE 255, KNOXVILLE, TN 37920-1508
(865) 244-2030
(865) 684-1196
Mailing address
1932 ALCOA HWY STE 255, KNOXVILLE, TN 37920-1508
(865) 244-2030
(865) 684-1196
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
08106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647640
UMWA
—
01
—
0840238
UNITED HEALTHCARE
—
01
—
100021168
PHP
—
01
—
180009848
RAILROAD MEDICARE
—
01
—
2005713
BLUE CROSS BLUE SHIELD
—
05
—
3153453
—
TN
01
—
4200511
CIGNA
—
01
—
4523695
AETNA
—
01
—
TN0101
JOHN DEERE
—
Enumeration date
03/14/2006
Last updated
01/31/2019
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