MEDICARE: CHAD KRITZBERGER 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	208000000X	Pediatrics Physician	100758	GA

General Provider Information

NPI Number	:	1962798231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD KRITZBERGER M.D.

Provider Business Mailing Address
First Line	:	2164 EDGEVIEW DR
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-1825
Country	:	US
Telephone Number	:	507-884-5574
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2937
Country	:	US
Telephone Number	:	706-571-9699
Fax Number	:

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

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	04/13/2026

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