Dr Charles Stephen Perry, MD | |
211 N Main St, Greeneville, TN 37745-3815 | |
(423) 787-6050 | |
(423) 787-6054 |
Full Name | Dr Charles Stephen Perry |
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Gender | Male |
Speciality | Pediatrics |
Location | 211 N Main St, Greeneville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710919766 | NPI | - | NPPES |
3496837 | Medicaid | TN | |
64058795 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD36854 (Tennessee) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
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Dr Charles Stephen Perry, MD 1675 E Allens Bridge Rd, Greeneville, TN 37743-5565 Ph: () - | Dr Charles Stephen Perry, MD 211 N Main St, Greeneville, TN 37745-3815 Ph: (423) 787-6050 |
Mrs. Kelsey Jean Little, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 | |
Dr. Justin Alan Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950 | |
Todd William Aiken, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-0950 Fax: 423-278-1973 | |
Dr. John Applegate, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973 | |
Douglas Catron Cobble, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 | |
Mr. Timothy Louis Fuller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 East Vann Road, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973 | |
Ms. Kimberly R Fisher, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 |