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NPI Code Detail

MEDICARE: CHRISTON JAMEL GUDE DPT

MEDICARE: CHRISTON JAMEL GUDE DPT
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
1225100000XPhysical TherapistPT018345GA

General Provider Information

NPI Number : 1447186259
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTON JAMEL GUDE DPT
Provider Business Mailing Address
First Line : 13609 CALIFORNIA ST
Second Line :
City : OMAHA
State : NE
Zip : 68154-5260
Country : US
Telephone Number : 706-476-3520
Fax Number :
Provider Business Practice Location Address
First Line : 3755 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1323
Country : US
Telephone Number : 706-476-3520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “ CHRISTON JAMEL GUDE DPT” Practice Location

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