Healthcare Provider Details

I. General information

NPI: 1467320200
Provider Name (Legal Business Name): CHRISTOPHER FRITH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 DR MARTIN L KING JR BLVD
NASHVILLE TN
37203-5755
US

IV. Provider business mailing address

479 SCRUGGS HOLLOW RD
ROCKVALE TN
37153-5425
US

V. Phone/Fax

Practice location:
  • Phone: 615-807-8920
  • Fax:
Mailing address:
  • Phone: 615-423-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number120009
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: