Basic Information
| Provider Information | |||||||||
| NPI: | 1417367863 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRETT | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | LAWRENCE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 415000-MSC8157 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372418157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8656706199 | ||||||||
| FaxNumber: | 8656706198 | ||||||||
| Practice Location | |||||||||
| Address1: | 1926 ALCOA HWY STE 130 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379201557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8653059040 | ||||||||
| FaxNumber: | 8653056188 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2014 | ||||||||
| LastUpdateDate: | 12/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME127684 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 2085R0001X | 62986 | TN | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.