Provider Demographics
NPI:1730133851
Name:GALE, CHRISTINE LINDA (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LINDA
Last Name:GALE
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:PO BOX 15004
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37901-5004
Mailing Address - Country:US
Mailing Address - Phone:865-541-8895
Mailing Address - Fax:865-633-4808
Practice Address - Street 1:2100 CLINCH AVE STE 310
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2220
Practice Address - Country:US
Practice Address - Phone:865-546-0221
Practice Address - Fax:866-323-3153
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17608207VG0400X
TNMD017608207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1515012Medicaid
TN3046288Medicaid
30462881Medicare PIN
TN1515012Medicaid
E65007Medicare UPIN
TN3046288Medicaid