Provider Demographics
NPI:1124056627
Name:ABBOT, CHRISTOPHER MUNRO (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MUNRO
Last Name:ABBOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 BURLEYSON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3094
Mailing Address - Country:US
Mailing Address - Phone:706-277-1573
Mailing Address - Fax:706-370-7715
Practice Address - Street 1:1109 BURLEYSON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3094
Practice Address - Country:US
Practice Address - Phone:706-277-1573
Practice Address - Fax:706-370-7715
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0581272086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI62369Medicare UPIN
GA77BBBNHMedicare ID - Type UnspecifiedMEDICARE ID