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NPI 1154309763

NPI 1154309763 : CHRISTOPHER WHITE RATCHFORD M.D. : CLEVELAND, GA

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General NPI Number Information
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    NPI Number           |    1154309763
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER WHITE RATCHFORD M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/04/2006
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    Last Update Date     |    12/10/2021
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Provider Practice Location Address
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    Address Line         |    17 WHITE ST 
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    City                 |    CLEVELAND
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    State                |    GA
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    Zip                  |    30528-1140
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    Country              |    US
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    Telephone            |    706-865-4001
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    Fax                  |    706-865-6268
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Provider Business Mailing Address
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    Address Line         |    17 WHITE ST PO BOX 490
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    City                 |    CLEVELAND
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    State                |    GA
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    Zip                  |    30528-1140
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    Country              |    US
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    Telephone            |    706-865-4001
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    Fax                  |    706-865-6268
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    45932
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    45932
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    License Number State |    GA
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