Individual
DR. CHRISTOPHER S SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 WRIGHT STREET, SWEETWATER, TN 37874-2823
(865) 213-8595
(865) 213-8373
Mailing address
304 WRIGHT STREET, SWEETWATER, TN 37874-2823
(865) 213-8595
(865) 213-8373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38965
TN
207R00000X
Internal Medicine Physician
Primary
MD38965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514793
—
TN
01
—
4234294
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/01/2006
Last updated
05/27/2020
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