Individual
MS. CHRISTINA BERRY KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E PONCE DE LEON AVE, DECATUR, GA 30030-3466
(404) 377-3436
Mailing address
200 E PONCE DE LEON AVE, DECATUR, GA 30030-3466
(404) 377-3436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5251
GEORGIA MEDICAL LICENSE
GA
Enumeration date
02/14/2008
Last updated
08/01/2012
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