Healthcare Provider Details

I. General information

NPI: 1114997673
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH TROLLMAN D.O., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 INDEPENDENCE
COLUMBUS MS
39710-5300
US

IV. Provider business mailing address

201 INDEPENDENCE
COLUMBUS MS
39710-5300
US

V. Phone/Fax

Practice location:
  • Phone: 662-434-1373
  • Fax:
Mailing address:
  • Phone: 931-206-6290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberDO1456
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: