Individual
DR. CHRISTOPHER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 SUMTER DR, MOORESVILLE, NC 28117-9620
(704) 660-6939
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5362
(505) 923-5362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036142147
IL
207P00000X
Emergency Medicine Physician
Primary
MD2017-1020
NM
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
37998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7911160
—
NC
05
—
N37998
—
SC
Enumeration date
01/12/2006
Last updated
01/23/2018
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