Provider Demographics
NPI:1417913591
Name:BAUR, CHRISTOPHER EDWARD (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:BAUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 YORKTOWN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7663
Mailing Address - Country:US
Mailing Address - Phone:770-460-4285
Mailing Address - Fax:770-460-4719
Practice Address - Street 1:101 YORKTOWN DR STE 100
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7663
Practice Address - Country:US
Practice Address - Phone:770-460-4285
Practice Address - Fax:770-460-4719
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064882207Q00000X
GA98020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34984OtherBLUE CROSS BLUE SHEILD
FLG02982Medicare UPIN
FL27110VMedicare ID - Type Unspecified