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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ALLEN COLBURN MD

MEDICARE: DR. CHRISTOPHER ALLEN COLBURN MD
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
1207R00000XInternal Medicine Physician35374TN
2208M00000XHospitalist Physician35374TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00386110OTHERTNRR MEDICARE
338655101OTHERTNMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518958115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ALLEN COLBURN MD
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-5180
Country : US
Telephone Number : 615-284-7224
Fax Number :
Provider Business Practice Location Address
First Line : 1559 SPARTA ST
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1316
Country : US
Telephone Number : 615-396-5822
Fax Number : 615-396-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 09/01/2020

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