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1427051739

NPI Code Detail

MEDICARE: MR. CHRISTOPHER RICHARD MATTSON M.D.

MEDICARE: MR. CHRISTOPHER RICHARD MATTSON 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	MD2024-0387	NM
3	363AM0700X	Medical Physician Assistant	C0002545	MD
4	207R00000X	Internal Medicine Physician	85852	GA
5	207R00000X	Internal Medicine Physician	0101253496	VA

General Provider Information

NPI Number	:	1427051739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER RICHARD MATTSON M.D.

Provider Business Mailing Address
First Line	:	1061 HARMON AVE
Second Line	:
City	:	FORT STEWART
State	:	GA
Zip	:	31314-5641
Country	:	US
Telephone Number	:	912-435-6633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 HARMON AVE
Second Line	:
City	:	FORT STEWART
State	:	GA
Zip	:	31314-5641
Country	:	US
Telephone Number	:	912-435-6633
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/19/2026

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Directions to “ MR. CHRISTOPHER RICHARD MATTSON M.D.” Practice Location

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