Basic Information
| Provider Information | |||||||||
| NPI: | 1336277185 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHRISTIAN | ||||||||
| FirstName: | CHRISTY | ||||||||
| MiddleName: | FINCH | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 332 SUMNER HALL DR | ||||||||
| Address2: | |||||||||
| City: | GALLATIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370663129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154694500 | ||||||||
| FaxNumber: | 6154604502 | ||||||||
| Practice Location | |||||||||
| Address1: | 332 SUMNER HALL DR | ||||||||
| Address2: | |||||||||
| City: | GALLATIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370663129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154604500 | ||||||||
| FaxNumber: | 6154604502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 171M00000X | TN | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.