Provider Demographics
NPI:1477900827
Name:CHRIST, JOHN HAMILTON (CRNA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HAMILTON
Last Name:CHRIST
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CAROLINA POINT PKWY
Mailing Address - Street 2:APT 1013
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6578
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 CAROLINA POINT PKWY
Practice Address - Street 2:APT 1013
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6578
Practice Address - Country:US
Practice Address - Phone:864-320-9576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20195367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC212786OtherLLR RN LICENSE