CHRISTOPHER EARL GENE GOLDEN (NPI# 1053408062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053408062 |
Entity Type | Individual |
Full Name | CHRISTOPHER EARL GENE GOLDEN |
Credential | PAC |
Practice Address |
210 Village Ctr Pkwy Stockbridge GA 30281 |
Practice Telephone | 7704745952 |
Practice Fax Number | 7704741300 |
Mailing Telephone | 7704745952 |
Mailing Fax Number | 7704741300 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2008-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
002727 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | KAISER | 6536 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609014752 | Christopher Dale Golden | Dentist | 29872 Overseas Highway, Big Pine Key, FL 33043 | 2009-01-28 |
1538319223 | Christopher Golden | Military Health Care Provider | 201 Thoroughbred Ln, Chesapeake, VA 23320-3061 | 2008-09-30 |
1770141152 | Christopher Golden | Physical Therapy Assistant | 930 S Broad St, Thomasville, GA 31792-6195 | 2019-05-31 |
1578095709 | Christopher M. Golden | Emergency Medicine | 200 Stonecrest Blvd, Smyrna, TN 37167-6810 | 2017-03-28 |
1205285475 | Christopher Golden | Behavioral Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-06-08 |
1093859381 | Christopher S Golden | Nurse Anesthetist, Certified Registered | 1114 Sunset Dr, Suite 4, Johnson City, TN 37604-2969 | 2007-02-19 |
Street Address |
210 VILLAGE CTR PKWY |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 207NI0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Clinical & Laboratory Dermatological Immunology |
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073015921 | Grace Delerme | Dermatology | 105 Professional Park Dr, Cumming, GA 30040-2381 | 2018-03-07 |
City | STOCKBRIDGE |
Zip Code | 30281 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.