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NPI Code Detail

MEDICARE: DR. CHRISTOPHER WHITE RATCHFORD M.D.

MEDICARE: DR. CHRISTOPHER WHITE RATCHFORD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician45932GA
2207P00000XEmergency Medicine Physician45932GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154309763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER WHITE RATCHFORD M.D.
Provider Business Mailing Address
First Line : 17 WHITE ST
Second Line : PO BOX 490
City : CLEVELAND
State : GA
Zip : 30528-1140
Country : US
Telephone Number : 706-865-4001
Fax Number : 706-865-6268
Provider Business Practice Location Address
First Line : 17 WHITE ST
Second Line :
City : CLEVELAND
State : GA
Zip : 30528-1140
Country : US
Telephone Number : 706-865-4001
Fax Number : 706-865-6268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 12/10/2021

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