Individual
CHRISTOPHER WATKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4302
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30614
TN
207L00000X
Anesthesiology Physician
Primary
30614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009965730
—
AL
05
—
0121482
—
MS
01
—
3101112
BCBS NUMBER
TN
05
—
3826625
—
TN
05
—
64929375
—
KY
Enumeration date
07/06/2005
Last updated
08/20/2008
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