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Individual

DR. CHRISTOPHER RUSSEL CORWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
11459 JOHNS CREEK PKWY., STE. 260, JOHNS CREEK, GA 30097-3515
(770) 232-5030
(770) 495-9993
Mailing address
900 CIRCLE 75 PKWY., STE. 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001012
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003132092B
GA
Enumeration date
06/15/2006
Last updated
07/19/2019
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