Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES DAVID DIETZEN, MD
ActiveMR. CHARLES DAVID DIETZEN, MD is a General Practice healthcare provider located in CHATTANOOGA, Tennessee. NPI 1417964248 is currently active in the NPPES registry. Verify at CMS.
General Practice · CHATTANOOGA, TN
Registration Details
- NPI Number
- 1417964248
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (19.846935954656 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
009627 (TN)051638 (GA)
Practice Information
- Address
-
4355 HIGHWAY 58SUITE 101CHATTANOOGA, TN, 374162939Browse TN providers · Browse ZIP 37416
- Phone
- 4238924289
- Fax
- 4238928301
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in CHATTANOOGA, TN
| Name | Credential | NPI |
|---|---|---|
| DR. PHILIP THOMAS NEWTON JR. | MD | 1790789717 |
| DR. WILLIAM E MEADOWS III | MD | 1396787495 |
| SCOTT ALAN RESNICK | MD | 1942231592 |
| DR. PATRICIA ANN EASON | M.D. | 1831276104 |
| JUSTIN GRANT WILKES | MD | 1821350604 |
| DR. REBECCA MARTIN | MD, PHD | 1548656861 |
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.