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CHRISTOPHER MICHAEL JOACHIM DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1437644606
Individual Registrant: CHRISTOPHER MICHAEL JOACHIM DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
124 BETTIS ACADEMY RD GRANITEVILLE, SC 29829-3107 US
Tel: 803-392-3724 Fax: 803-234-5593
Tel: 803-392-3724 Fax: 803-234-5593
Contact information for business:
367 S GULPH RD ATTN IPM CREDENTIALING KING OF PRUSSIA, PA 19406-3121 US
Tel: 803-392-3724 Fax: 803-234-5593
Tel: 803-392-3724 Fax: 803-234-5593
Registration Information:
NPI: 1437644606
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | VA | 0116032120 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | SC | 83702 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 837027 | SC | 05 |
