# CHRISTOPHER D MARSHALL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTOPHER D MARSHALL MD PLLC, Medical Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659762391
- **Authorized official:** CHRISTOPHER DEAN AVERETT MARSHALL MD (CEO)
- **Authorized official phone:** (731) 257-1500

## Contact information

- **Practice address:** 190 UNIVERSITY AVE, PARSONS, TN 38363-2972
- **Practice address phone:** (731) 845-3813
- **Practice address fax:** (731) 257-1501
- **Mailing address:** 190 UNIVERSITY AVE, PARSONS, TN 38363-2972
- **Mailing address phone:** (731) 257-1500
- **Mailing address fax:** (731) 257-1501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 41991 | KY | — |
| 207P00000X | Emergency Medicine Physician | 42847 | TN | — |
| 207Q00000X | Family Medicine Physician | 41991 | KY | — |
| 207Q00000X | Family Medicine Physician | 42847 | TN | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 41991 | KY | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 42847 | TN | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 10/16/2024