Individual
MELVIN L. CHRISTIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1651 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421-3289
(423) 308-0390
(423) 308-0393
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN013066
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01308102
AMERIGROUP TENNCARE- NON PAR GCA
TN
05
—
200975960
—
IN
05
—
3600299
—
TN
01
—
4228707
BLUE CROSS/BLUE SHIELD OF TN - GCA
TN
01
—
P00836567
RR MEDICARE
TN
Enumeration date
01/24/2008
Last updated
01/10/2023
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