Healthcare Provider Details

I. General information

NPI: 1528702909
Provider Name (Legal Business Name): CHRISTOPHER GEORGE ANDERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VCUHS DEPT OF ORTHOPEDIC RESIDENCY 1250 E. MARSHALL STREET
RICHMOND VA
23298-0153
US

IV. Provider business mailing address

PO BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-827-1204
  • Fax:
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA536107913050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: