Individual
CHRISTOPHER MICHAEL JOACHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
124 BETTIS ACADEMY RD, GRANITEVILLE, SC 29829-3107
(803) 392-3724
(803) 234-5593
Mailing address
367 S GULPH RD, ATTN IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 392-3724
(803) 234-5593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116032120
VA
207Q00000X
Family Medicine Physician
Primary
83702
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
837027
—
SC
Enumeration date
06/28/2018
Last updated
09/16/2021
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