Doctor Name: | CHARLES G DYE |
NPI Number: | 1033144381 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD0000018930 |
Business Practice Address: | 800 Oak Ridge Tnpk #a401 Oak Ridge, TN - 37830 |
Business Phone Number: | 8654810094 |
Business Fax Number: | 8654810101 |
Mailing Address: | 800 Oak Ridge Tnpk, #a401 OAK RIDGE |
State: | TN |
Postal Code: | 37830 |
Phone Number: | 8654810094 |
Fax Number: | 8654810101 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD0000018930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |