Individual
DINO W. CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1813
SC
367500000X
Certified Registered Nurse Anesthetist
RN163710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576008010-006
BLUE CHOICE
SC
01
—
576008010-009
BCBS
SC
01
—
576008010-015
TRICARE
SC
05
—
GP2825
—
SC
Enumeration date
10/18/2005
Last updated
12/11/2009
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