Healthcare Provider Details

I. General information

NPI: 1982668976
Provider Name (Legal Business Name): CHRISTIAN J RHEA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 10/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 22ND AVE N
NASHVILLE TN
37203-1852
US

IV. Provider business mailing address

222 22ND AVE N
NASHVILLE TN
37203-1852
US

V. Phone/Fax

Practice location:
  • Phone: 629-255-2184
  • Fax: 629-255-4063
Mailing address:
  • Phone: 629-255-3486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD1757
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: