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NPI Code Detail

MEDICARE: MR. CHRISTOPHER RICHARD MATTSON M.D.

MEDICARE: MR. CHRISTOPHER RICHARD MATTSON 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianMD2024-0387NM
3363AM0700XMedical Physician AssistantC0002545MD
4207R00000XInternal Medicine Physician85852GA
5207R00000XInternal Medicine Physician0101253496VA

General Provider Information

NPI Number : 1427051739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER RICHARD MATTSON M.D.
Provider Business Mailing Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6633
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/19/2026

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