Organization
CHRISTOPHER S. BURRESS, MD
Active
Other names
D/B/A Optimum Internal Medicine and Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER S. BURRESS M.D. (OWNER)
(931) 996-4247
Entity
Organization
Contact information
Practice address
10044 HIGHWAY 46, BON AQUA, TN 37025-1764
(931) 996-4247
(931) 996-4248
Mailing address
10044 HIGHWAY 46, BON AQUA, TN 37025-1764
(931) 996-4247
(931) 996-4248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073603411
INDIVIDUAL NPI
AL
01
—
11777708
CAQH
TN
05
—
1522546
—
TN
Enumeration date
09/15/2014
Last updated
02/17/2018
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