Provider Demographics
NPI:1225186877
Name:SANBORN, CHRISTOPHER KARL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KARL
Last Name:SANBORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:979 E. THIRD STREET
Mailing Address - Street 2:SUITE C-620
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-2906
Mailing Address - Fax:423-778-9482
Practice Address - Street 1:979 E. THIRD STREET
Practice Address - Street 2:SUITE C-620
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2147
Practice Address - Country:US
Practice Address - Phone:423-778-2906
Practice Address - Fax:423-778-9482
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031647208600000X
TN31647208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNVAD000Medicare UPIN