MEDICARE: CHRISTOPHER AMADEUS KUETTNER 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	207Q00000X	Family Medicine Physician	024008	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110006848	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019610	OTHER	GA	BC/BS OF GA

General Provider Information

NPI Number	:	1902805450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER AMADEUS KUETTNER MD

Provider Business Mailing Address
First Line	:	836 E. 65TH STREET
Second Line	:	SUITE 22
City	:	SAVANNAH
State	:	GA
Zip	:	31405
Country	:	US
Telephone Number	:	912-819-7878
Fax Number	:	912-819-3320

Provider Business Practice Location Address
First Line	:	600 E. OGLETHORPE HY
Second Line	:	SUITE B
City	:	HINESVILLE
State	:	GA
Zip	:	31313
Country	:	US
Telephone Number	:	912-756-3872
Fax Number	:	912-756-5355

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/07/2021

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