Individual
CHRISTOPHER L MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6215 HUMPHREYS BLVD, SUITE 200, MEMPHIS, TN 38120-2367
(901) 821-9990
(901) 821-9991
Mailing address
PO BOX 1000, DEPT 978, MEMPHIS, TN 38148-0001
(901) 821-9990
(901) 821-9991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23722
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124778
—
MS
05
—
121811001
—
AR
05
—
3068083
—
TN
01
—
6012373
BCBS
TN
Enumeration date
07/07/2005
Last updated
03/10/2017
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