MEDICARE: CHRISTOPHER FLEMING PAC

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	363A00000X	Physician Assistant	1210	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568432169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER FLEMING PAC

Provider Business Mailing Address
First Line	:	PO BOX 37087
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3087
Country	:	US
Telephone Number	:	828-687-5616
Fax Number	:	828-650-8076

Provider Business Practice Location Address
First Line	:	438 E VANN RD
Second Line	:	SUITE 301
City	:	GREENEVILLE
State	:	TN
Zip	:	37743-7202
Country	:	US
Telephone Number	:	423-278-1650
Fax Number	:	423-278-1667

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	07/10/2024

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Directions to “ CHRISTOPHER FLEMING PAC” Practice Location

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