Individual
CHRISTOPHER THOMAS MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(706) 475-7000
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70831
GA
208M00000X
Hospitalist Physician
70831
GA
208M00000X
Hospitalist Physician
A133038
CA
Other
Enumeration date
06/27/2011
Last updated
11/17/2022
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