Charles Aubrey Isham Jr, MD | |
163 Perkins Ln, Jacksboro, TN 37757-2833 | |
(423) 562-1181 | |
Not Available |
Full Name | Charles Aubrey Isham Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 163 Perkins Ln, Jacksboro, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184669269 | NPI | - | NPPES |
110182715 | Other | TN | RR MEDICARE PIN |
3004504 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13405 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Charles Aubrey Isham Jr, MD 1225 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2604 Ph: (865) 584-4747 | Charles Aubrey Isham Jr, MD 163 Perkins Ln, Jacksboro, TN 37757-2833 Ph: (423) 562-1181 |
Dr. Gurpreet K Narula, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2503 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-566-6466 Fax: 423-566-1387 | |
Subanithya Dhamotharan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3170 Appalachian Hwy, Suite 5, Jacksboro, TN 37757 Phone: 423-907-1700 Fax: 423-907-1711 | |
Dr. Harjeet Narula, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2503 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-566-6466 Fax: 423-566-1387 |