Individual
DR. CHRISTOPHER ALTON EDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2011 COMMERCE DR N STE 25, PEACHTREE CITY, GA 30269-3538
(478) 542-0311
Mailing address
2011 COMMERCE DR N STE 25, PEACHTREE CITY, GA 30269-3538
(844) 994-6633
(470) 235-1861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042042
GA
208D00000X
General Practice Physician
42042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000757182K
—
GA
01
—
002023289
UNITED HEALTHCARE MPIN
GA
Enumeration date
06/01/2006
Last updated
05/07/2024
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