Healthcare Provider Details

I. General information

NPI: 1639551369
Provider Name (Legal Business Name): CHRISTIANA BEDIAKO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-8542
US

IV. Provider business mailing address

1609 ZURICH DR
SPRING HILL TN
37174-7181
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-5000
  • Fax:
Mailing address:
  • Phone: 615-614-1438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number57997
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57997
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number50571
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: