Individual
DR. CHARLIE ANTHONY SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
127 W MEETING ST, DANDRIDGE, TN 37725-4747
(865) 397-2868
(865) 397-5100
Mailing address
PO BOX 1191, DANDRIDGE, TN 37725-1191
(865) 397-2868
(865) 397-5100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21889
TN
Other
Enumeration date
02/19/2007
Last updated
01/29/2022
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