Individual
CHARLES G ANGE
Active
Individual
CHARLES G ANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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