Provider Demographics
NPI:1073958724
Name:BLUNDEN, CHRISTOPHER EVERETT (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EVERETT
Last Name:BLUNDEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4501 CAMERON VALLEY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-4382
Mailing Address - Country:US
Mailing Address - Phone:704-512-3636
Mailing Address - Fax:704-364-1387
Practice Address - Street 1:4501 CAMERON VALLEY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-4382
Practice Address - Country:US
Practice Address - Phone:704-512-3636
Practice Address - Fax:704-364-1387
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2025-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC191556208000000X
LA3113792080P0205X
OH1280282080P0205X
NC2025-009592080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics