Individual
CHRISTOPHER ISENNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
796 PROVIDENCE CHURCH RD, NEWNAN, GA 30263-4437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0000068357
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2021
Last updated
06/20/2024
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