Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles David Dietzen, MD

Individual provider General Practice Physician · NPI 1417964248

Mr. Charles David Dietzen, MD is a General Practice Physician in Chattanooga, Tennessee. Licensed in Georgia and Tennessee. Registered with an NPI since 2006.

Licensed in
GA, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4355 Highway 58 Ste 101
Chattanooga, TN 37416-2939
Phone: (423) 892-4289
Fax: (423) 892-8301
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 009627 (TN)
General Practice Physician Taxonomy 208D00000X · Licence 051638 (GA)

Record details

NPI number1417964248
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Chattanooga