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Individual
CHRISTOPHER R. JENNINGS
Active
Individual
CHRISTOPHER R. JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20614
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
20614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000956667C
GEORGIA MEDICAID
GA
01
—
004916614
SC DRIVERS LICENSE
SC
05
—
206146
—
SC
Enumeration date
06/13/2006
Last updated
12/13/2023
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