MEDICARE: CHARLES BARNETT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9608	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053357673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES BARNETT MD

Provider Business Mailing Address
First Line	:	3230 KELLER BEND RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6525
Country	:	US
Telephone Number	:	865-691-6759
Fax Number	:	865-249-7638

Provider Business Practice Location Address
First Line	:	3230 KELLER BEND RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6525
Country	:	US
Telephone Number	:	865-691-6759
Fax Number	:	865-249-7638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	06/15/2010

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