Healthcare Provider Details

I. General information

NPI: 1851324586
Provider Name (Legal Business Name): CHRIS L. GINGLES CPA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MENTAL HEALTH AND DEV DIS 710 JAMES ROBERTSON PKY SUITE 10000
NASHVILLE TN
37243-0675
US

IV. Provider business mailing address

MENTAL HEALTH AND DEV DIS 710 JAMES ROBERTSON PKY SUITE 10000
NASHVILLE TN
37243-0675
US

V. Phone/Fax

Practice location:
  • Phone: 615-532-6617
  • Fax: 615-253-3838
Mailing address:
  • Phone: 615-532-6617
  • Fax: 615-253-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: