MEDICARE: CHRISTIAN ALEXANDER GIVENS 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
1	207Q00000X	Family Medicine Physician	73675	TN

General Provider Information

NPI Number	:	1669114716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN ALEXANDER GIVENS MD

Provider Business Mailing Address
First Line	:	5953 ELEMENTARY WAY STE 109
Second Line	:
City	:	COLLEGE DALE
State	:	TN
Zip	:	37363-3172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5953 ELEMENTARY WAY STE 109
Second Line	:
City	:	COLLEGE DALE
State	:	TN
Zip	:	37363-3172
Country	:	US
Telephone Number	:	423-778-9174
Fax Number	:

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

Provider Enumeration Date	:	04/10/2022
Last Update Date	:	07/01/2025

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