Provider Demographics
NPI:1558786665
Name:CHARLES R TESSIER DO PC
Entity Type:Organization
Organization Name:CHARLES R TESSIER DO PC
Other - Org Name:HOMETOWN FAMILY MEDICAL, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-439-6165
Mailing Address - Street 1:115 N THOMPSON LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4305
Mailing Address - Country:US
Mailing Address - Phone:615-439-6165
Mailing Address - Fax:615-867-3443
Practice Address - Street 1:115 N THOMPSON LN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4305
Practice Address - Country:US
Practice Address - Phone:615-439-6165
Practice Address - Fax:615-867-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty