Individual
CHRISTOPHER BLAKE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 24TH AVE N STE 120, NASHVILLE, TN 37203-1505
(615) 342-0290
Mailing address
335 24TH AVE N STE 120, NASHVILLE, TN 37203-1505
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
74767
TN
207Y00000X
Otolaryngology Physician
R-10551
IA
Other
Enumeration date
06/02/2016
Last updated
09/11/2025
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