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NPI Code Detail

MEDICARE: DAVID LEE CHRISTOPHERSON MD

MEDICARE:   DAVID LEE CHRISTOPHERSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34832NC

General Provider Information

NPI Number : 1184611485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEE CHRISTOPHERSON MD
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7804 FAIRVIEW RD STE A
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4999
Country : US
Telephone Number : 704-316-3136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2005
Last Update Date : 10/20/2025

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Directions to “ DAVID LEE CHRISTOPHERSON MD” Practice Location

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