Provider Demographics
NPI:1700091097
Name:GAY, CHRISTOPHER PARKER (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PARKER
Last Name:GAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 S. JACKSON HWY
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660
Mailing Address - Country:US
Mailing Address - Phone:256-314-1499
Mailing Address - Fax:256-314-5499
Practice Address - Street 1:1111 S JACKSON HWY
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-5746
Practice Address - Country:US
Practice Address - Phone:256-314-1499
Practice Address - Fax:256-314-5499
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO687207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1215938576OtherNPI NUMBER
AL1215938576OtherNPI NUMBER