Individual
MR. CHRISTOPHER BRIAN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
980 HIGHWAY 28, SUITE 100, JASPER, TN 37347-3695
(423) 942-1602
(423) 942-1265
Mailing address
980 HIGHWAY 28, SUITE 100, JASPER, TN 37347-3695
(423) 942-1602
(423) 942-1265
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003118413B
—
GA
05
—
1525594
—
TN
Enumeration date
08/08/2011
Last updated
07/03/2015
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