Organization
CHRISTIE & CAROLINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIN KWON (OWNER)
(678) 547-1045
Entity
Organization
Contact information
Practice address
5677 BUFORD HWY NE, DORAVILLE, GA 30340-1244
(678) 547-1045
(678) 547-1048
Mailing address
2050 FOSCO DR, DULUTH, GA 30097-4801
(678) 547-1045
(678) 547-1048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/30/2010
Last updated
06/02/2010
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