Basic Information
Provider Information
NPI: 1902098635
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BETT-BELLEAU
FirstName: CHRISTINE
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1113 MURFREESBORO RD
Address2: STE 319
City: FRANKLIN
State: TN
PostalCode: 370641306
CountryCode: US
TelephoneNumber: 6157900567
FaxNumber: 6155958030
Practice Location
Address1: 1113 MURFREESBORO RD
Address2: STE 319 & STE 202
City: FRANKLIN
State: TN
PostalCode: 370641306
CountryCode: US
TelephoneNumber: 6157900567
FaxNumber: 6155958030
Other Information
ProviderEnumerationDate: 08/16/2007
LastUpdateDate: 11/19/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XND31620TNY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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