MEDICARE: CHRISTOPHER MCCLURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	UTRESIDENT	TN

General Provider Information

NPI Number	:	1396454229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MCCLURE

Provider Business Mailing Address
First Line	:	26 RIVERVIEW DR E APT 301
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-4736
Country	:	US
Telephone Number	:	404-695-9363
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 MADISON AVENUE SUITE 447
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38163-1526
Country	:	US
Telephone Number	:	901-448-5364
Fax Number	:	901-448-6182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	05/26/2023

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Directions to “ CHRISTOPHER MCCLURE ” Practice Location

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