Individual
CHRISTINE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1062 FORSYTH ST STE 2E, MACON, GA 31201-8631
(478) 633-7330
Mailing address
1062 FORSYTH ST STE 2E, MACON, GA 31201-8631
(478) 633-7330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3874
GA
Other
Enumeration date
07/01/2005
Last updated
10/30/2020
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