Basic Information
Provider Information
NPI: 1114937489
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAGGIO
FirstName: CHRIS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 446 METROPLEX DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372113139
CountryCode: US
TelephoneNumber: 6157810013
FaxNumber: 6156271441
Practice Location
Address1: 446 METROPLEX DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372113139
CountryCode: US
TelephoneNumber: 6157810013
FaxNumber: 6156271441
Other Information
ProviderEnumerationDate: 08/09/2006
LastUpdateDate: 05/18/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X39222TNY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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