MEDICARE: CHRISTOPHER ANDRE HULSEY M.D.

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
1	2085R0202X	Diagnostic Radiology Physician	053246	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00269230	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	N343827	OTHER	GA	WELLCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	52703766002	OTHER	GA	BCBS
5	108709597B	OTHER	GA	PEACH STATE HEALTH PLAN
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205822533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ANDRE HULSEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15759
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31416-2459
Country	:	US
Telephone Number	:	912-355-8188
Fax Number	:	912-356-6970

Provider Business Practice Location Address
First Line	:	4700 WATERS AVE
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31404-6220
Country	:	US
Telephone Number	:	912-350-8436
Fax Number	:	912-356-6970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	03/30/2022

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Directions to “ CHRISTOPHER ANDRE HULSEY M.D.” Practice Location

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