CHARLES MATTHEW STREET

OAK RIDGE, TN
NPI1255981940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
CHARLES MATTHEW STREET PA
170 W TENNESSEE AVE
OAK RIDGE, TN 37830-6509
Phone number: 865-482-1788
Mailing Address
CHARLES MATTHEW STREET PA
170 W TENNESSEE AVE
OAK RIDGE, TN 37830-6509
Phone number: 865-482-1788
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