Charles Peters, | |
105 Meadow View Rd Ste 4, Bristol, TN 37620-1726 | |
(423) 844-6935 | |
Not Available |
Full Name | Charles Peters |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 105 Meadow View Rd Ste 4, Bristol, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588088629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Tennessee) | Primary |
Provider Name | Champion Physical Therapy Llc Halls |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073771564 PECOS PAC ID: 1355416306 Enrollment ID: O20120619000128 |
Mailing Address | Practice Location Address |
---|---|
Charles Peters, 4105 Fort Henry Dr Ste 300, Kingsport, TN 37663-2256 Ph: (423) 239-1550 | Charles Peters, 105 Meadow View Rd Ste 4, Bristol, TN 37620-1726 Ph: (423) 844-6935 |
Ted Ryan Sparks, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Raytheon Rd, Bristol, TN 37620 Phone: 423-484-8488 | |
Dr. Tyler Hatfield, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1159 Volunteer Pkwy, Bristol, TN 37620 Phone: 423-573-6657 | |
Kari Ann Snyder, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 826 Meadow View Rd, Bristol, TN 37620 Phone: 423-845-4361 | |
Mrs. Meredith Phillips Chaffin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-4104 | |
Mr. Michael C Cameron, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1996 W State St, Bristol, TN 37620 Phone: 423-844-6111 | |
Joshua C Hutto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Shelby Ln, Bristol, TN 37620 Phone: 423-797-8080 |