Basic Information
| Provider Information | |||||||||
| NPI: | 1093928020 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARKHURST | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | REBECCA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MEDICAL DOCTOR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1949 GUNBARREL ROAD | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4234954345 | ||||||||
| FaxNumber: | 4234954934 | ||||||||
| Practice Location | |||||||||
| Address1: | 2051 HAMILL ROAD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | HIXSON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4234983010 | ||||||||
| FaxNumber: | 4234983011 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 11/16/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 56377 | TN | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 064317 | GA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 64317 | GA | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.