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CHARLES STREET, PA

PA

Medical Physician Assistant

NPI: 1255981940Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

Contact & Hours

Address
170 W TENNESSEE AVE
OAK RIDGE, TN 37830

Quick Facts

NPI
1255981940
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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