Provider Demographics
NPI:1497999742
Name:DODD, CHRISTOPHER H (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:H
Last Name:DODD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 TRADERS WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-5430
Mailing Address - Country:US
Mailing Address - Phone:615-302-1279
Mailing Address - Fax:615-302-5279
Practice Address - Street 1:4720 TRADERS WAY STE 600
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-5430
Practice Address - Country:US
Practice Address - Phone:615-302-1279
Practice Address - Fax:615-302-5279
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN49283208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD 49283OtherMEDICAL LICENSE NUMBER