Individual
CHRISTOPHER ANDREW MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 STADIUM DR, CLEMMONS, NC 27012-8766
(336) 766-6473
(336) 766-8909
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-01949
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00596219B
—
GA
05
—
5906668
—
NC
01
—
P00776996
RAILROAD MEDICARE
NC
Enumeration date
06/08/2005
Last updated
01/18/2023
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