Charles Alexander Kidd, MD

NPI #1396126165 in Fayetteville, Tennessee

Provider Information

NPI Number: 1396126165
Entity Type: Individual
Name: Charles Alexander Kidd, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 17, 2015
Last Updated: Jun 13, 2019

Practice Location

Address: 207 ELK AVE S
City: Fayetteville
State: Tennessee
ZIP Code: 37334-3051
Phone: (931) 433-2551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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