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Individual

DR. CHRISTOPHER J ANDERSHOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1585 PISGAH RD, CORDOVA, TN 38016-5407
(901) 337-0961
Mailing address
1585 PISGAH RD, CORDOVA, TN 38016-5407
(901) 337-0961

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36690
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126505
MS
05
156279001
AR
05
3879163
TN
01
4041777
BLUE CROSS
TN
01
P00232038
RAILROAD MEDICARE
TN
Enumeration date
05/27/2006
Last updated
12/04/2012
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