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NPI Code Detail

MEDICARE: EUGENE P CHRISTIAN MD

MEDICARE:   EUGENE P CHRISTIAN  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
1174400000XSpecialist01593NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17268317OTHERNCCIGNA HEALTHCARE ID #
2MEDCOSTOTHERNCMEDCOST ID #
31401KOTHERNCBCBS ID #
4561549396OTHERNCTAX ID #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
64227249OTHERNCAETNA ID #
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356313431
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE P CHRISTIAN MD
Provider Business Mailing Address
First Line : 3541 RANDOLPH RD
Second Line : SUITE 201
City : CHARLOTTE
State : NC
Zip : 28211-1082
Country : US
Telephone Number : 704-944-0143
Fax Number : 704-944-7399
Provider Business Practice Location Address
First Line : 3541 RANDOLPH RD
Second Line : SUITE 201
City : CHARLOTTE
State : NC
Zip : 28211-1082
Country : US
Telephone Number : 704-944-0143
Fax Number : 704-944-7399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 10/30/2008

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Directions to “ EUGENE P CHRISTIAN MD” Practice Location

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