Individual provider · Type 1 NPI
Charles Matthew Street, PA
Medical Physician Assistant · Oak Ridge, TN
NPI number
1255981940
Active
Practice location
170 W Tennessee Ave
Oak Ridge, TN 37830-6509
Fax (865) 482-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
4 other providers at this address
Other medical physician assistant providers in Oak Ridge
About NPI 1255981940
Charles Matthew Street, PA's National Provider Identifier is 1255981940, issued on Sep 16, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oak Ridge, TN. The record was last updated on Sep 16, 2019.