Healthcare Provider Details
I. General information
NPI: 1982737821
Provider Name (Legal Business Name): CHRISTOPHER E. DOERR, D.O., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2007
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
195 MILES ST
ATHENS GA
30601-1820
US
IV. Provider business mailing address
195 MILES ST
ATHENS GA
30601-1820
US
V. Phone/Fax
- Phone: 706-546-1333
- Fax: 706-546-5807
- Phone: 706-546-1333
- Fax: 706-546-5807
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
E
DOERR
Title or Position: PRESIDENT
Credential: D.O.
Phone: 706-546-1333