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NPI Code Detail

MEDICARE: K R CHARY PC

MEDICARE: K R CHARY PC
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
1207RN0300XNephrology Physician12441TN

General Provider Information

NPI Number : 1861721524
Entity Type Code : Organization
Provider Name (Legal Business Name) : K R CHARY PC
Provider Business Mailing Address
First Line : 221 STERLING FARM DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-5727
Country : US
Telephone Number : 731-668-4337
Fax Number : 731-661-0124
Provider Business Practice Location Address
First Line : 221 STERLING FARM DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-5727
Country : US
Telephone Number : 731-668-4337
Fax Number : 731-661-0124
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. TERESA L COLLIS
Credential :
Telephone Number : 731-668-4337
Provider Enumeration Date : 12/09/2009
Last Update Date : 12/28/2009

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Directions to “K R CHARY PC ” Practice Location

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