Provider Demographics
NPI:1093928020
Name:PARKHURST, CHRISTINA REBECCA (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:REBECCA
Last Name:PARKHURST
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Gender:F
Credentials:MEDICAL DOCTOR
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Mailing Address - Street 1:1949 GUNBARREL ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-495-4345
Mailing Address - Fax:423-495-4934
Practice Address - Street 1:2051 HAMILL ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343
Practice Address - Country:US
Practice Address - Phone:423-498-3010
Practice Address - Fax:423-498-3011
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2017-11-16
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Provider Licenses
StateLicense IDTaxonomies
TN56377208600000X
GA064317208600000X
GA64317208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery