Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES MATTHEW STREET, PA
Active Sole ProprietorCHARLES MATTHEW STREET, PA is a Medical Physician Assistant healthcare provider located in OAK RIDGE, Tennessee. NPI 1255981940 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · OAK RIDGE, TN
Registration Details
- NPI Number
- 1255981940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2019 (6.912631869482 yrs)
- Last Updated
- Sep 16, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
170 W TENNESSEE AVEOAK RIDGE, TN, 378306509Browse TN providers · Browse ZIP 37830
- Phone
- 8654821788
- Fax
- 8654821789
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in OAK RIDGE, TN
| Name | Credential | NPI |
|---|---|---|
| ZOE VARNER | PA-C | 1013258243 |
| MISS JERRIN O LEVY | PA-C | 1588021356 |
| EMILY JO HAIRFIELD | PA | 1518404573 |
| NOLAN MCCOURT | PA-C | 1598486102 |
| HALEY CARVER | PA | 1487368502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.