CHARLES E ANDERESON MD PC NPI 1174576920

NPI Information

NPI: 1174576920
Provider Name: CHARLES E ANDERESON MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Doing Business As: TULLAHOMA LASER CENTER
Address: 2336 N JACKSON ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 393-0600

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NPI Details

CHARLES E ANDERESON MD PC is a general practice in Tullahoma, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHARLES E ANDERESON MD PC NPI is 1174576920. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tullahoma Laser Center.

The provider's business location address is:

2336 N JACKSON ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 393-0600
Fax: (931) 393-0656

The provider's authorized official is Charles E Anderson .
The authorized official title is President and has the following contact phone number (931) 393-0600.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		MD14122	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7240951	OTHER	TENNESSEE	CIGNA HEALTH CARE
2	3197128	MEDICAID	TENNESSEE
3	4009762	OTHER	TENNESSEE	BCBS OF TN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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