Provider Demographics
NPI:1275982571
Name:IRVINE, CHRISTOPHER JOHN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:IRVINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4807
Mailing Address - Country:US
Mailing Address - Phone:828-252-2511
Mailing Address - Fax:828-252-5711
Practice Address - Street 1:43 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4807
Practice Address - Country:US
Practice Address - Phone:828-252-2511
Practice Address - Fax:828-252-5711
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA157892207Q00000X
TXS8577207Q00000X
NC2021-00958207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine