Basic Information
| Provider Information | |||||||||
| NPI: | 1073520482 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINDSEY | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | RONALD | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 131 SAUNDERSVILLE RD STE 160 | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370758940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9012032901 | ||||||||
| FaxNumber: | 9017796968 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 SHERRILL ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | UNION CITY | ||||||||
| State: | TN | ||||||||
| PostalCode: | 382615891 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7318843900 | ||||||||
| FaxNumber: | 7318843901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 07/14/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 1397 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.