Individual
DR. CHRISTINA LEE MOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5002 CROSSINGS CIR, # 180, MOUNT JULIET, TN 37122-8471
(615) 515-9111
(615) 758-3791
Mailing address
501 GREAT CIRCLE RD, STE. 200, NASHVILLE, TN 37228-1317
(615) 222-7685
(615) 222-7237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203650
VA
207Q00000X
Family Medicine Physician
Primary
DO0000002939
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6064343
BCBST
TN
01
—
P01637851
RR MEDICARE
TN
05
—
Q020395
—
TN
Enumeration date
04/07/2011
Last updated
06/23/2016
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