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1932647583
CHARLES DOTY
TAZEWELL, TN
NPI
1932647583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 1366442782)
Enumeration Date
2017-02-03
Last Update Date
2018-09-19
Business Address
CHARLES DOTY
150 HESTER LN
TAZEWELL, TN 37879-5088
Phone number: 423-851-4594
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Mailing Address
CHARLES DOTY
PO BOX 416
GREENEVILLE, TN 37744-0416
Phone number: 323-639-0187
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