Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 058127 | GA |
NPI | 1124056627 |
---|---|
Provider Name | Dr. Christopher Munro Abbot |
First Address | Dalton, GA 30720-3094 |
Second Address | Dalton, GA 30720-3094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 04/01/2022 |