CHARLES HUNTER ROARK

CHATTANOOGA, TN
NPI1497216501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology Neurology
(Licence: TN  5205)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-29
Last Update Date2024-04-25
Business Address
CHARLES HUNTER ROARK DO
513 DODDS AVE STE 103
CHATTANOOGA, TN 37404-3909
Phone number: 423-698-3423
Mailing Address
CHARLES HUNTER ROARK DO
M148 GREEN ZONE BOX 3951, DAVISON BUILDING TRENT DRIVE
DURHAM, NC 27710-0001
Phone number: 919-684-3491