Provider Demographics
NPI:1487641809
Name:MYERS, CHRISTINE BEVILLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BEVILLE
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9058 OLD LEE HWY
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5631
Mailing Address - Country:US
Mailing Address - Phone:423-531-9110
Mailing Address - Fax:423-476-5887
Practice Address - Street 1:9058 OLD LEE HWY
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-5631
Practice Address - Country:US
Practice Address - Phone:423-531-9110
Practice Address - Fax:423-476-5887
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009959055Medicaid