Christopher Lawrence Pulliam in Green Cove Springs - Sports Medicine

Christopher Lawrence Pulliam - NPI 1134183270

Christopher Lawrence Pulliam is a Sports Medicine in Green Cove Springs, Florida. Christopher Lawrence Pulliam practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Christopher Lawrence Pulliam is 1134183270. The last update date is 2023-09-28.

Christopher Lawrence Pulliam's current location address is 3497 Lawton Pl, Green Cove Springs, Florida. You can contact this provider via phone number 9137084802. The mailing address for Christopher Lawrence Pulliam is 3497 Lawton Pl, Green Cove Springs, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher Lawrence Pulliam
Address 3497 Lawton Pl, Green Cove Springs, Florida
Phone Number 9137084802
Fax Number
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1134183270
Provider Enumeration Date 2006-04-14
Last Updated Date 2023-09-28

Provider Mailing Address Detail

Address 3497 Lawton Pl
City Green Cove Springs
State Florida (FL)
Post Code 320438262
Phone Number 9137084802
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 213Es0000X
Licence No 359
Definition:
A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PO4499 FL PODIATRY
12-00359 KS KANSAS LICENSE NUMBER

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FAQs about Christopher Lawrence Pulliam

What is the unique identifier code issued to Christopher Lawrence Pulliam by the Centers for Medicare & Medicaid Services (CMS)?

The Christopher Lawrence Pulliam has been assigned the NPI (National Provider Identifier) 1134183270. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Christopher Lawrence Pulliam's physical address?

The Christopher Lawrence Pulliam is physically located at 3497 Lawton Pl, in the city of Green Cove Springs, FL, with the postal code 320438262.

What is Christopher Lawrence Pulliam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Christopher Lawrence Pulliam's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0000X.

On what date did the Christopher Lawrence Pulliam receive the assignment of its 1134183270 from the Centers for Medicare & Medicaid Services?

The Christopher Lawrence Pulliam was issued its 1134183270 by the Centers for Medicare & Medicaid Services on 2006-04-14.

As of what date were the details pertaining to Christopher Lawrence Pulliam last refreshed?

The information related to the Christopher Lawrence Pulliam, including its address, specialty, and other relevant details, was last updated on 2023-09-28.

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