Charles L Backus, DO

NPI #1801856414 in Bulls Gap, Tennessee

Provider Information

NPI Number: 1801856414
Entity Type: Individual
Name: Charles L Backus, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: Mar 27, 2006
Last Updated: Sep 20, 2023

Practice Location

Address: 273 HIGHWAY 11 E
City: Bulls Gap
State: Tennessee
ZIP Code: 37711-3433
Phone: (423) 393-4146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Addiction Medicine — Addiction Medicine	2083A0300X
Emergency Medicine	207P00000X	Primary

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