Individual
CHRISTOPHER K LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6555 QUINCE RD, MEMPHIS, TN 38119-8202
(901) 515-5704
(901) 515-5729
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
44939
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07150821
—
MS
05
—
177760001
—
AR
01
—
4355605
BCBS
TN
01
—
P01288704
RAILROAD MEDICARE
TN
05
—
Q002444
—
TN
Enumeration date
05/30/2007
Last updated
01/24/2018
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