Individual
EUGENE P CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3541 RANDOLPH RD, SUITE 201, CHARLOTTE, NC 28211-1082
(704) 944-0143
(704) 944-7399
Mailing address
3541 RANDOLPH RD, SUITE 201, CHARLOTTE, NC 28211-1082
(704) 944-0143
(704) 944-7399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01593
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401K
BCBS ID #
NC
01
—
4227249
AETNA ID #
NC
01
—
561549396
TAX ID #
NC
05
—
5903047
—
NC
01
—
7268317
CIGNA HEALTHCARE ID #
NC
01
—
890238K
NC MEDICAID GROUP NUMBER
NC
01
—
MEDCOST
MEDCOST ID #
NC
Enumeration date
02/03/2006
Last updated
10/30/2008
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