Basic Information
| Provider Information | |||||||||
| NPI: | 1114956034 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SENKOWSKI | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | K. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 WATERS AVE FL 1 | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314046220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123508712 | ||||||||
| FaxNumber: | 9123508753 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 WATERS AVE FL 1 | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314046220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123508712 | ||||||||
| FaxNumber: | 9123508753 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2006 | ||||||||
| LastUpdateDate: | 01/28/2022 | ||||||||
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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 | 208600000X | 044999 | GA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 044999 | GA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086X0206X | 044999 | GA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 01366126 | 01 | AMERIGROUP | OTHER | 000781096G | 05 | GA | MEDICAID | P00679509 | 01 | SC | RAILROAD MEDICARE | OTHER | P01113781 | 01 | GA | RAILROAD MEDICARE | OTHER | P01148287 | 01 | SC | RAILROAD MEDICARE | OTHER | G44999 | 05 | SC | MEDICAID |