Basic Information
| Provider Information | |||||||||
| NPI: | 1255372983 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHARLES E. MORTON M.D.PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2021 CHURCH ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152842400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2021 CHURCH ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152842400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2006 | ||||||||
| LastUpdateDate: | 11/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | MORTON | ||||||||
| AuthorizedOfficialFirstName: | CHARLES | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6158328186 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | III | ||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 8766 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.