IndividualActive
Charles Dietzen, MD
NPI 1417964248 · General Practice Physician · Chattanooga, TN
Provider details
- NPI number
- 1417964248
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 009627 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4355 Highway 58
Suite 101
Chattanooga, TN 37416-2939
Phone: (423) 892-4289
Fax: (423) 892-8301
Approximate (ZIP-level) locationGet directions
Mailing address
2621 Crestwood Dr
Chattanooga, TN 37415-6321
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.