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Christopher Thomas Middendorf

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTOPHER MIDDENDORF.

Based on the most recent information from CMS, provider Christopher Thomas Middendorf is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1780970921
Provider Type
Individual
Full Name
Middendorf, Christopher Thomas
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/27/2011
Last Updated
11/17/2022

Contact Information

Practice Location

1199 Prince Ave, Athens, GA 30606

(706) 475-7000

Unlisted Fax

Mailing Location

1199 Prince Ave, Athens, GA 30606-2797

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 70831 Georgia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License A133038 California
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 70831 Georgia

Christopher Thomas Middendorf

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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