MEDICARE: DR. CHRISTOPHER J HAGGERTY 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
1	207W00000X	Ophthalmology Physician	22323	SC
2	207W00000X	Ophthalmology Physician	60639	TN

General Provider Information

NPI Number	:	1609883479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER J HAGGERTY M.D.

Provider Business Mailing Address
First Line	:	341 COOL SPRINGS BLVD.
Second Line	:	STE. 400
City	:	FRANKLIN
State	:	TN
Zip	:	37067
Country	:	US
Telephone Number	:	423-508-7337
Fax Number	:	423-508-7338

Provider Business Practice Location Address
First Line	:	1400 DOWELL SPRINGS BLVD.
Second Line	:	STE. 310
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2445
Country	:	US
Telephone Number	:	865-966-7337
Fax Number	:	865-966-7339

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	02/12/2023

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