Most Relevant Information
Provider Data
| NPI Number: | 1003380916 |
| Provider Name: | CHRISTOPHER WYATT |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
6055 SHALLOWFORD RD
CHATTANOOGA
TN
374211688
Practice Location Phone/Fax
| Phone: | 4232666751 |
| Fax: |
Provider Mailing Location
201 W SPRINGDALE AVE
KNOXVILLE
TN
379175158
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |