Provider Demographics
NPI:1194012211
Name:CULPEPPER, CHRISTOPHER LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:CULPEPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHRIST
Other - Middle Name:
Other - Last Name:CULPEPPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25 HOSPITAL CENTER CMNS STE 100
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2841
Mailing Address - Country:US
Mailing Address - Phone:843-681-9489
Mailing Address - Fax:
Practice Address - Street 1:25 HOSPITAL CENTER CMNS STE 100
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2841
Practice Address - Country:US
Practice Address - Phone:843-681-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-10
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01080460A208600000X
SC90888208600000X
KY44979390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300014215Medicaid