Individual
CHRISTOPHER MARK POKABLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3045 KATE BOND RD, BARTLETT, TN 38133
(901) 381-4664
(901) 373-4870
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 259-1673
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20320
MS
207X00000X
Orthopaedic Surgery Physician
45413
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
20320
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
45413
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00775733
MEDICARE RR
TN
05
—
1516507
—
TN
01
—
20320
MEDICAL LICENSE
MS
01
—
4241859
BCBS OF TN
TN
01
—
45413
MEDICAL LICENSE
TN
01
—
89964
MEDICAL LICENSE
OH
01
—
9329389
AETNA
—
Enumeration date
04/18/2007
Last updated
01/20/2021
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