Provider Demographics
NPI:1487000899
Name:JAMES W. CHRISTOPHER, MD, LLC
Entity type:Organization
Organization Name:JAMES W. CHRISTOPHER, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-635-0074
Mailing Address - Street 1:7015 HIGHWAY 190 EAST SERVICE RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4960
Mailing Address - Country:US
Mailing Address - Phone:985-635-0074
Mailing Address - Fax:985-893-9594
Practice Address - Street 1:7015 HIGHWAY 190 EAST SERVICE RD
Practice Address - Street 2:STE. 102
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4960
Practice Address - Country:US
Practice Address - Phone:985-635-0074
Practice Address - Fax:985-893-9594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty