Individual
CHRISTY GOLDEN MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-2969
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-2969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12171
TN
363L00000X
Nurse Practitioner
A01318
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05606823
—
MS
05
—
3644906
—
TN
01
—
4159083
TN BCBS
TN
01
—
41681
TLC
TN
Enumeration date
09/27/2006
Last updated
01/28/2008
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