Individual
DR. CHRISTINA L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GHS DEPARTMENT OF NEONATOLOGY, GREENVILLE, SC 29605-5611
(864) 455-7939
(864) 455-3685
Mailing address
701 GROVE RD, GHS DEPARTMENT OF NEONATOLOGY, GREENVILLE, SC 29605-5611
(864) 455-7939
(864) 455-3685
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
22903
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229032
—
SC
05
—
5901616
—
NC
Enumeration date
05/17/2006
Last updated
07/08/2007
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