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1558384776

NPI Code Detail

MEDICARE: CHRISTOPHER ERIC MADISON M.D.

MEDICARE: CHRISTOPHER ERIC MADISON 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
1	207Q00000X	Family Medicine Physician	30671	NC
2	207Q00000X	Family Medicine Physician	12902	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	53707	OTHER	NC	NCBCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558384776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ERIC MADISON M.D.

Provider Business Mailing Address
First Line	:	460 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2497
Country	:	US
Telephone Number	:	843-738-4800
Fax Number	:	843-738-4801

Provider Business Practice Location Address
First Line	:	460 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2497
Country	:	US
Telephone Number	:	843-738-4800
Fax Number	:	843-738-4801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/17/2023

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Directions to “ CHRISTOPHER ERIC MADISON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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