Individual
CHRISTOPHER D. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4127
(386) 254-8265
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4127
(386) 254-8265
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0085612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265021500
—
FL
Enumeration date
02/14/2006
Last updated
06/30/2010
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