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TULLAHOMA LASER CENTER
NPI 1174576920
General Practice in Tullahoma, TN

Active since May 19, 2006
2336 N JACKSON ST, TULLAHOMA, TN 37388(931) 393-0600(931) 393-0656 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tullahoma Laser Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TULLAHOMA LASER CENTER (NPI 1174576920) is a healthcare organization registered as a general practice in Tullahoma, Tennessee and active in the NPI registry since May 2006. The organization lists Charles E Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1174576920
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHARLES E ANDERESON MD PC
Location Address2336 N JACKSON STTullahoma, TN 37388
Mailing Address2336 N Jackson St, Po Box 1840Tullahoma, TN 37388 · (931) 393-0600 · Fax (931) 393-0656
Phone(931) 393-0600
Fax(931) 393-0656
Organization SubpartNo
Authorized OfficialCharles E AndersonPresident · (931) 393-0600
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174576920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · MD14122
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2336 N JACKSON ST, Tullahoma, TN 37388
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Other Names 1

Doing Business AsTullahoma Laser Center

Other Identifiers 3

Other7240951TN · Cigna Health Care
Medicaid3197128TN
Other4009762TN · Bcbs Of Tn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles E Andereson MD PC's NPI number?

The NPI number for Charles E Andereson MD PC is 1174576920. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Tullahoma Laser Center.

Where is Charles E Andereson MD PC located?

Charles E Andereson MD PC is located at 2336 N Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 393-0600.

What is Charles E Andereson MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Charles E Andereson MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.