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NPI Code Detail

MEDICARE: CHRISTOPHER J CHERRY M.D.

MEDICARE: CHRISTOPHER J CHERRY M.D.
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
1207RC0000XCardiovascular Disease Physician30505TN

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 : 1609861293
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER J CHERRY M.D.
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : JACKSON
State : TN
Zip : 38302-0400
Country : US
Telephone Number : 731-425-5752
Fax Number : 731-425-5783
Provider Business Practice Location Address
First Line : 145 INNOVATION DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-3019
Country : US
Telephone Number : 731-422-0213
Fax Number : 731-422-0409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 10/25/2023

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Directions to “ CHRISTOPHER J CHERRY M.D.” Practice Location

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