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Individual

CHRISTOPHER STEVEN BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD., STE. 300, CUMMING, GA 30040
(770) 886-8111
(770) 205-8539
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE. 300, CUMMING, GA 30040
(770) 886-8111
(770) 205-8539

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
076441
GA
207X00000X
Orthopaedic Surgery Physician
2016-00752
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942592613
NC
05
Q52016
SC
Enumeration date
05/12/2011
Last updated
08/11/2017
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