Basic Information
| Provider Information | |||||||||
| NPI: | 1114199932 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAUL | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1109 | ||||||||
| Address2: | |||||||||
| City: | ROME | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301621109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7062912131 | ||||||||
| FaxNumber: | 7062918199 | ||||||||
| Practice Location | |||||||||
| Address1: | 330 TURNER MCCALL BLVD SW | ||||||||
| Address2: | |||||||||
| City: | ROME | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301655630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7062912131 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2008 | ||||||||
| LastUpdateDate: | 09/09/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 60691 | GA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.