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MR. CHRISTOPHER BRYAN BAUCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
(423) 495-6312
Mailing address
8099 STILLWATER CIR, OOLTEWAH, TN 37363-4842
(423) 653-5612

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2961222
FL
367500000X
Certified Registered Nurse Anesthetist
188052
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14319
TN
367500000X
Certified Registered Nurse Anesthetist
RN132292
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1516428
TN
01
4239486
BCBS OF TN
TN
Enumeration date
09/15/2006
Last updated
02/03/2026
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