Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 04-33146 | KS |
Y | 207KA0200X | Allergist | 40986 | TN |
NPI | 1225256613 |
---|---|
Provider Name | Dr. Chrishana L. Ogilvie |
First Address | Germantown, TN 38138-3856 |
Second Address | Germantown, TN 38138-3856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 10/12/2020 |