Healthcare Provider Details

I. General information

NPI: 1962798231
Provider Name (Legal Business Name): CHAD KRITZBERGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 RIVER RD
COLUMBUS GA
31904-2937
US

IV. Provider business mailing address

2164 EDGEVIEW DR
HUDSON OH
44236-1825
US

V. Phone/Fax

Practice location:
  • Phone: 706-571-9699
  • Fax:
Mailing address:
  • Phone: 507-884-5574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number100758
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: