# CHRISTIAN CARL MABRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063736098
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 25MA09290100 | NJ | — |
| 207L00000X | Anesthesiology Physician | 282706-1 | NY | — |
| 207L00000X | Anesthesiology Physician | 84795 | SC | Yes |

## Other

- **Enumeration date:** 03/19/2010
- **Last updated:** 05/11/2021