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NPI Code Detail

MEDICARE: CHRISTOPHER AMADEUS KUETTNER MD

MEDICARE:   CHRISTOPHER AMADEUS KUETTNER  MD
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 Physician024008GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110006848OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1019610OTHERGABC/BS OF GA

General Provider Information

NPI Number : 1902805450
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER AMADEUS KUETTNER MD
Provider Business Mailing Address
First Line : 836 E. 65TH STREET
Second Line : SUITE 22
City : SAVANNAH
State : GA
Zip : 31405
Country : US
Telephone Number : 912-819-7878
Fax Number : 912-819-3320
Provider Business Practice Location Address
First Line : 600 E. OGLETHORPE HY
Second Line : SUITE B
City : HINESVILLE
State : GA
Zip : 31313
Country : US
Telephone Number : 912-756-3872
Fax Number : 912-756-5355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 02/07/2021

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Directions to “ CHRISTOPHER AMADEUS KUETTNER MD” Practice Location

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