Provider Demographics
NPI:1033214572
Name:WILLIAMS, CHRISTOPHER BISHOP (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BISHOP
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 SATELLITE BLVD STE 840
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5634
Mailing Address - Country:US
Mailing Address - Phone:770-497-8989
Mailing Address - Fax:770-497-8882
Practice Address - Street 1:3675 SATELLITE BLVD STE 840
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5634
Practice Address - Country:US
Practice Address - Phone:770-497-8989
Practice Address - Fax:770-497-8882
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007715111N00000X
PADC009107111N00000X
NC3112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJPDMedicare ID - Type Unspecified
U99748Medicare UPIN