Carlson, Chris Charles

Carlson, Chris Charles is an individual health care provider with primary practice located at 1430 Harper St Building B, Augusta GA 30901-0617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carlson, Chris Charles can be contacted via phone (706) 724-5451.

Contact Information

Primary practice address
1430 Harper St Building B Augusta GA 30901-0617
Fax: (706) 724-9562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 045051 Georgia

Profile Details

NPI number 1629062443
LBN Legal business name Carlson, Chris Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jan 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629062443 NPPES
South Carolina MEDICAID G45051

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