Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 9900593 | NC |
Y | 2080A0000X | Adolescent Medicine | 9900593 | NC |
N | 2080P0006X | Developmental - Behavioral Pediatrician | 9900593 | NC |
N | 2086S0120X | Pediatric Surgery | 9900593 | NC |
N | 208D00000X | General Practice Physician | 9900593 | NC |
NPI | 1649361601 |
---|---|
Provider Name | Dr. Christopher John Magryta |
First Address | Salisbury, NC 28144-3255 |
Second Address | Salisbury, NC 28144-3255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 27/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1223L | BCBS (01) | NC |
1242217 | UNITED HEALTHCARE (01) | NC |
284347 | MAMSI (01) | NC |
32362 | PARTNERS (01) | NC |
8382976 | AETNA (01) | NC |
891223L | (05) | NC |
89501 | MEDCOST PREFERRED (01) | NC |
9071742 | PHCS (01) | NC |
G92151 | (02) | NC |