Healthcare Provider Details

I. General information

NPI: 1174577407
Provider Name (Legal Business Name): CHRISTOPHER THOMAS DALEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 MALCOLM BLVD.
RUTHERFORD COLLEGE NC
28671
US

IV. Provider business mailing address

841 MALCOLM BLVD.
RUTHERFORD COLLEGE NC
28671
US

V. Phone/Fax

Practice location:
  • Phone: 828-874-3379
  • Fax: 828-874-0833
Mailing address:
  • Phone: 828-874-3379
  • Fax: 828-874-0833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number200001108
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: