MEDICARE: DR. KATHY LYN CHRISTMAN 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
1	207RX0202X	Medical Oncology Physician	18666	SC

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

General Provider Information

NPI Number	:	1215932645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHY LYN CHRISTMAN MD

Provider Business Mailing Address
First Line	:	5400 SUTLIVE ST
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-4721
Country	:	US
Telephone Number	:	912-354-6187
Fax Number	:	912-355-9807

Provider Business Practice Location Address
First Line	:	100 BUCKWALTER PLACE BLVD STE 120
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-5023
Country	:	US
Telephone Number	:	843-836-7120
Fax Number	:	843-815-8014

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/09/2020

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