Provider Demographics
NPI:1619072345
Name:BARTLETT INTERNAL MEDICINE GROUP PC
Entity Type:Organization
Organization Name:BARTLETT INTERNAL MEDICINE GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:W
Authorized Official - Last Name:MUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-373-7100
Mailing Address - Street 1:6570 SUMMER OAKS COVE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134
Mailing Address - Country:US
Mailing Address - Phone:901-373-7100
Mailing Address - Fax:901-373-4022
Practice Address - Street 1:6570 SUMMER OAKS COVE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134
Practice Address - Country:US
Practice Address - Phone:901-373-7100
Practice Address - Fax:901-373-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty