Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17092 | MS |
N | 111NI0900X | Internist | 17092 | MS |
N | 207R00000X | Internist | 57188 | TN |
N | 111NI0900X | Internist | 57188 | TN |
N | 207SG0201X | Clinical Genetics (M.D.) | 17092 | MS |
Y | 207SG0201X | Clinical Genetics (M.D.) | 57188 | TN |
NPI | 1699715102 |
---|---|
Provider Name | Dr. Christopher Andrew Friedrich SR. |
First Address | Nashville, TN 37204 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09014153 | (05) | MS |
E58178 | (02) | MS |