Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME113635 | FL |
N | 207QS0010X | Family Doctor - Sports Medicine | ME113635 | FL |
NPI | 1245273267 |
---|---|
Provider Name | Dr. Chris George Pappas |
First Address | Fort Walton Beach, FL 32547-1170 |
Second Address | Fort Walton Beach, FL 32547 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 29/08/2018 |