Corwin, Christopher Russel

Corwin, Christopher Russel is an individual health care provider with primary practice located at 11459 Johns Creek Pkwy. Ste. 260, Johns Creek GA 30097-3515. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Corwin, Christopher Russel can be contacted via phone (770) 232-5030.

Contact Information

Primary practice address
11459 Johns Creek Pkwy. Ste. 260 Johns Creek GA 30097-3515
Phone: (770) 232-5030
Fax: (770) 495-9993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001012 Georgia

Profile Details

NPI number 1003850983
LBN Legal business name Corwin, Christopher Russel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 19th, 2019 - about 6 years 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 1003850983 NPPES
Georgia MEDICAID 003132092B

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