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Individual

CHRISTOPHER ANTHONY WITHERSPOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6305 HUMPHREYS BLVD STE 101, MEMPHIS, TN 38120-2372
(901) 227-8930
(901) 227-8936
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K2828
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
62514
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
K2828
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168601601
TX
05
168601602
TX
05
168601605
TX
Enumeration date
06/20/2005
Last updated
12/06/2021
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