Healthcare Provider Details

I. General information

NPI: 1851398176
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL HENDRIX PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 ASPEN GROVE DR
FRANKLIN TN
37067-2836
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 157-711-1166
  • Fax: 615-695-1494
Mailing address:
  • Phone: 865-694-0062
  • Fax: 865-694-7907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number935
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: