Provider Demographics
NPI:1265433916
Name:BATEY, CHARLOTTE ANNE (MD)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:ANNE
Last Name:BATEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-2509
Mailing Address - Country:US
Mailing Address - Phone:931-388-6721
Mailing Address - Fax:
Practice Address - Street 1:1407 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3535
Practice Address - Country:US
Practice Address - Phone:931-381-2110
Practice Address - Fax:931-381-5178
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054183A208800000X
TN37915208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4068780OtherBLUE CROSS BLUE SHIELD TN
TN3887693Medicare ID - Type Unspecified
TNH36057Medicare UPIN