Individual
CHRISTOPHER A LANDESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 LOCUST ST, ROGERSVILLE, TN 37857-2407
(423) 921-7000
Mailing address
143 SUN CHASE CT, GRAY, TN 37615-5502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31988
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3139514
BCBS OF TN
TN
05
—
3849479
—
TN
01
—
P00282272
MEDICARE RAILROAD
TN
Enumeration date
06/19/2006
Last updated
12/04/2007
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