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1336316819

NPI Code Detail

MEDICARE: DR. CHRISTOPHER LEE TEBBIT M.D.

MEDICARE: DR. CHRISTOPHER LEE TEBBIT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	110489	NC
2	207Y00000X	Otolaryngology Physician	2009-00715	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00811880	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20099611	OTHER	SC	SELECT HEALTH OF SC
2	9353337	OTHER		AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1534J	OTHER	NC	BCBSNC

General Provider Information

NPI Number	:	1336316819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LEE TEBBIT M.D.

Provider Business Mailing Address
First Line	:	6035 FAIRVIEW RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3256
Country	:	US
Telephone Number	:	704-295-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PARK ST
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-3368
Country	:	US
Telephone Number	:	704-295-3700
Fax Number	:	704-295-3707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	04/01/2021

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Directions to “ DR. CHRISTOPHER LEE TEBBIT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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