Individual
CHRISTINE M LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
259 US HIGHWAY 19 N, CAMILLA, GA 31730-1410
(229) 336-1949
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5500
(229) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R125749
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000683141B
—
GA
05
—
000683141C
—
GA
Enumeration date
06/02/2006
Last updated
09/17/2020
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