Individual
MR. CHRISTOPHER WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0374
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1138829
TN
363A00000X
Physician Assistant
8579
GA
363AM0700X
Medical Physician Assistant
Primary
8579
GA
Other
Enumeration date
12/30/2016
Last updated
03/05/2025
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