Provider Demographics
NPI:1245486844
Name:BEARDSLEY, CHRISTOPHER P (CPO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:BEARDSLEY
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:P
Other - Last Name:BEARDSLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPO
Mailing Address - Street 1:3700 BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-3603
Mailing Address - Country:US
Mailing Address - Phone:423-697-0057
Mailing Address - Fax:423-648-9366
Practice Address - Street 1:3700 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-3603
Practice Address - Country:US
Practice Address - Phone:423-697-0057
Practice Address - Fax:423-648-9366
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist