CHARLES A ISHAM JR. MD

SUMMIT MEDICAL GROUP, PLLC

Dr CHARLES A ISHAM JR. MD is a male medical professional, specializing in Internal Medicine. He graduated in 1980 from University Of Tennessee College Of Medicine.

Contact

SUMMIT MEDICAL GROUP, PLLC

163 PERKINS LN
JACKSBORO
TN
377572833

Tel: 4235621181

CHARLES A ISHAM JR. MD Information

Npi 1184669269
Pac Id 9436044237
Professional Enrollment Id I20040219000926
Last Name ISHAM
First Name CHARLES
Middle Name A
Suffix JR.
Gender M
Credential MD
Medical School Name UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1980
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SUMMIT MEDICAL GROUP, PLLC
Group Practice Pac Id 2860396330
Number Of Group Practice Members 356
Line 1 Street Address 163 PERKINS LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JACKSBORO
State TN
Zip Code 377572833
Phone Number 4235621181
Hospital Affiliation Ccn 1 440033
Hospital Affiliation Lbn 1 LAFOLLETTE MEDICAL CENTER
Hospital Affiliation Ccn 2 440034
Hospital Affiliation Lbn 2 METHODIST MEDICAL CENTER OF OAK RIDGE
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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