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Search › Tennessee › 363A00000X

Charlie Etherton, PAC

NPI 1700990025 · on the registry since 2006

Practice

Address
1124 Fox Meadows Blvd
Suite 2
Sevierville, TN 37862
Phone
(865) 453-5530
Fax
(865) 453-2671
Organisation at this address
Caris Healthcare
Summit Medical Group, Pllc
Summit Medical Group, Pllc
Summit Medical Group, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee