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Individual

CHRISTI NICOLE TAKAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 HOSPITAL DR STE 200, MT PLEASANT, SC 29464-3892
(843) 849-1551
(843) 884-0629
Mailing address
PO BOX 749340, ATLANTA, GA 30374-9340

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5639
SC
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/01/2024
Last updated
08/05/2025
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