IndividualActive
Charles Kidd, MD
NPI 1396126165 · Internal Medicine Physician · Fayetteville, TN
Provider details
- NPI number
- 1396126165
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 38504 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
207 Elk Ave S
Fayetteville, TN 37334-3051
Phone: (931) 433-2551
Fax: (931) 438-0069
Approximate (ZIP-level) locationGet directions
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Additional practice locations (1)
- 701 Grove RdAtt: Residency CoordindatorGreenville, SC 29605-5611Phone: (864) 455-7844Fax: (864) 455-7848
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2019-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.