Individual ProviderChristopher P RecknorInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2350 Limestone Pkwy, Gainesville, GA 30501-2087(770) 534-5154PECOS EnrollmentBased on the most recent information from CMS, provider Christopher P Recknor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1306832175Provider TypeIndividualFull NameRecknor, Christopher PTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date9/27/2005Last Updated2/1/2010Contact InformationPractice LocationPractice Address2350 Limestone Pkwy, Gainesville, GA 30501-2087Phone(770) 534-5154Fax(770) 503-0183Mailing LocationMailing AddressPO Box 908063, Gainesville, GA 30501-0916Phone(770) 534-5154Fax(770) 503-0183Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense040982GeorgiaProvider IdentifiersIDDescriptionIssuerID00680787HDescriptionMedicaidIssuerUnlistedGeorgiaID00680787JDescriptionMedicaidIssuerUnlistedGeorgia