Witherspoon, Christopher Anthony

Witherspoon, Christopher Anthony is an individual health care provider with primary practice located at 6305 Humphreys Blvd Ste 101 , Memphis TN 38120-2372. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Witherspoon, Christopher Anthony can be contacted via phone (901) 227-8930.

Contact Information

Primary practice address
6305 Humphreys Blvd Ste 101 Memphis TN 38120-2372
Phone: (901) 227-8930
Fax: (901) 227-8936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K2828 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X K2828 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 62514 Tennessee

Profile Details

NPI number 1295730786
LBN Legal business name Witherspoon, Christopher Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Dec 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295730786 NPPES
Texas MEDICAID 168601601
Texas MEDICAID 168601605
Texas MEDICAID 168601602

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