MR. Charles David Dietzen, MD

NPI #1417964248 in Chattanooga, Tennessee

Provider Information

NPI Number: 1417964248
Entity Type: Individual
Name: MR. Charles David Dietzen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Aug 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4355 HIGHWAY 58
Address 2: SUITE 101
City: Chattanooga
State: Tennessee
ZIP Code: 37416-2939
Phone: (423) 892-4289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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