Provider Demographics
NPI:1639244148
Name:CHRISTOPHER, ROBERT MANNING JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MANNING
Last Name:CHRISTOPHER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9263 MEDICAL PLAZA DR
Mailing Address - Street 2:STE E
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-7109
Mailing Address - Country:US
Mailing Address - Phone:843-572-1228
Mailing Address - Fax:843-576-6168
Practice Address - Street 1:9263 MEDICAL PLAZA DR
Practice Address - Street 2:STE E
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-7109
Practice Address - Country:US
Practice Address - Phone:843-572-1228
Practice Address - Fax:843-576-6168
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC28935207L00000X
SCLL28935207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00789433OtherRAILROAD MEDICARE
SCDF5588OtherRAILROAD MEDICARE GIN/GTAN
SCP00789433OtherRAILROAD MEDICARE
SCAA4162850Medicare PIN