Individual
CHRISTOPHER W. SHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2026
(423) 282-3377
(423) 283-4746
Mailing address
311 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2026
(423) 282-3377
(423) 283-4746
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD17105
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004642248
AETNA
—
01
—
0020583100
BLACK LUNG
—
05
—
006065201
—
VA
01
—
0138353
BLUE CROSS BLUE SHIELD
TN
01
—
1332F
BLUE CROSS
NC
01
—
183554
MEDCOST
NC
05
—
3039100
—
TN
05
—
64009798
—
KY
05
—
890664A
—
NC
01
—
TN0104
UNITED HEALTHCARE OF THE
TN
Enumeration date
09/16/2005
Last updated
09/15/2012
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