OrganizationActive
Charles E Andereson MD PC
NPI 1174576920 · General Practice Physician · Tullahoma, TN
Provider details
- NPI number
- 1174576920
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Anderson, President(931) 393-0600
- License
- MD14122 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2336 N Jackson St
Tullahoma, TN 37388
Phone: (931) 393-0600
Fax: (931) 393-0656
Approximate (ZIP-level) locationGet directions
Mailing address
2336 N Jackson St
Tullahoma, TN 37388
Other names (DBA / former)
- Doing business as
- Tullahoma Laser Center
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.