Charles Waller, MD
Charles Waller, MD is a General Practice in Benton, Kentucky. Graduated from University of Kentucky College of Medicine in 1992, 34 years ago. Practices with Hospital Medicine Services of Tennessee PC, a 158-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 34
- Trained at
- University of Kentucky College of Medicine
- Licensed in
- KY
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
218 Bass LnBenton, KY 42025-5824
Phone: (270) 556-3239
Fax: (270) 354-5865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 29738 (KY) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 29738 (KY) |
Record details
| NPI number | 1306841341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 16, 2005 |
| Last updated in NPPES | February 1, 2017 |
| Mailing address | 218 Bass Ln, Benton, KY 42025-5824 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduated | 1992 (34 years in practice) |
| Group practice | Hospital Medicine Services Of Tennessee Pc — 158 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |