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Individual

CHRISTOPHER WILLIAM SOIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1404 RIVER PL STE 201, BRASELTON, GA 30517-5600
(770) 219-9200
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
079463
GA
208600000X
Surgery Physician
35066460
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200126050A
INDIANA MEDICAID
OH
05
2190632
OH
Enumeration date
08/30/2005
Last updated
01/19/2018
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