Provider Demographics
NPI:1790479764
Name:LENEAR, CHRISTOPHER EUGENE
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:EUGENE
Last Name:LENEAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BREEDLOVE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2080
Mailing Address - Country:US
Mailing Address - Phone:678-635-7221
Mailing Address - Fax:678-635-7298
Practice Address - Street 1:705 BREEDLOVE DR STE 300
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2080
Practice Address - Country:US
Practice Address - Phone:678-635-7221
Practice Address - Fax:678-635-7298
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT016585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist