Individual
DR. CHRISTOPHER RYAN HAGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 EXECUTIVE PARK DR, CLINTON, TN 37716
(865) 494-9241
Mailing address
110 EXECUTIVE PARK DR, CLINTON, TN 37716-6876
(865) 494-9241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042891
—
TN
Enumeration date
05/25/2016
Last updated
06/29/2020
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