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Individual

CHRISTIAN S FAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3045 KATE BOND RD, BARTLETT, TN 38133-4004
(901) 641-3000
(901) 373-3804
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD0000038414
TN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
038414
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00171115
MEDICARE RR
TN
05
1514469
TN
01
2093256
UNITED HEALTH
01
4228434
BCBS OF TN
TN
Enumeration date
09/15/2005
Last updated
03/08/2021
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