Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 8211 | GA |
NPI | 1003260985 |
---|---|
Provider Name | Dr. Christopher Daniel Muncie |
First Address | Phenix City, AL 36867-7483 |
Second Address | Phenix City, AL 36867-7483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2016 |
Last Update Date | 28/02/2017 |