| NPI Details | |
|---|---|
| NPI | 1558667089 |
| Gender | Male |
| Enumeration Date | 02/01/2011 |
| Last Updated | 02/01/2011 |
| Entity Type | Individual |
| Active | Over 6 years ago |
| Practice Location | |
|---|---|
| 1550 COLLEGE ST MACON GA, 31207-1500, US |
|
| Phone | (478) 301-2547 |
| Fax | |
| Business Location | |
|---|---|
| 1550 COLLEGE ST MACON GA, 31207-1500, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 390200000X |
| License State | |
| License Number | |
| Remove 1558667089 NPI Number | |
According to our database, Christopher Pankiw NPI is 1558667089, taxonomy code is 390200000X Christopher Pankiw physically located at 1550 College St, Macon GA, 31207-1500. NPI Number Christopher Pankiw has the Individual type.
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1558667089 NPI number is provided on an as is basis without warranty of any kind. 1558667089 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Pankiw are for informational purposes only.
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