Provider Demographics
NPI:1780770933
Name:KAUFMAN, CHRISTIAN BURNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:BURNETTE
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5455 MERIDIAN MARKS RD NE
Mailing Address - Street 2:SUITE 540
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1654
Mailing Address - Country:US
Mailing Address - Phone:404-758-2932
Mailing Address - Fax:404-758-2930
Practice Address - Street 1:5455 MERIDIAN MARKS RD NE
Practice Address - Street 2:SUITE 540
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1654
Practice Address - Country:US
Practice Address - Phone:404-758-2932
Practice Address - Fax:404-758-2930
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-6713207T00000X
OH35.096121207T00000X
NY258033207T00000X
GA066128207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5AG50Medicare PIN