Basic Information
| Provider Information | |||||||||
| NPI: | 1639599640 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUIDRY | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 E CHEVES ST STE 260 | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295062652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436657941 | ||||||||
| FaxNumber: | 8436651257 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 HERLONG AVE S STE G | ||||||||
| Address2: | |||||||||
| City: | ROCK HILL | ||||||||
| State: | SC | ||||||||
| PostalCode: | 297321182 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8039096300 | ||||||||
| FaxNumber: | 8039096310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2014 | ||||||||
| LastUpdateDate: | 09/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0102X | 84358 | SC | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0127X | 84358 | SC | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 208600000X | 84358 | SC | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.