MR. CHARLES DIETZEN, MD
General Practice
Active
Individual
NPI: 1417964248
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | No | 051638 (GA) |
Frequently Asked Questions
NPI 1417964248 is the National Provider Identifier for MR. CHARLES DIETZEN, MD, a General Practice provider located in Chattanooga, TN. This NPI was enumerated on August 2, 2006.
MR. CHARLES DIETZEN, MD practices at 4355 HIGHWAY 58, SUITE 101, Chattanooga, TN 37416.
Quick Facts
- NPI
- 1417964248
- Type
- Individual
- Enumerated
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
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