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NPI Code Detail

MEDICARE: CHRISTINA MATHEW PHARMD

MEDICARE: CHRISTINA MATHEW PHARMD
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
1183500000XPharmacist29703TN
2183500000XPharmacist023768GA

General Provider Information

NPI Number : 1700162815
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MATHEW PHARMD
Provider Business Mailing Address
First Line : 8950 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-5003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8950 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-5003
Country : US
Telephone Number : 865-694-1186
Fax Number : 865-694-3942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2011
Last Update Date : 11/02/2011

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Directions to “ CHRISTINA MATHEW PHARMD” Practice Location

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