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CHRISTOPHER MICHAEL JOACHIM DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1437644606

Individual Registrant:
 CHRISTOPHER MICHAEL JOACHIM DO
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

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

Registration Information:
NPI: 1437644606
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
VA0116032120
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
SC83702

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
837027SC05




HEALTH CARE JOBS SC - Page 1



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