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MRS. JACQUELINE CHRISTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2227 IDLEWOOD RD, SUITE 1, TUCKER, GA 30084-4827
(678) 205-2039
(678) 205-2040
Mailing address
4514 CHAMBLEE DUNWOODY RD # 328, ATLANTA, GA 30338-6272
(678) 205-2039
(678) 205-2040

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN151674
GA

Other

Enumeration date
03/01/2007
Last updated
10/08/2011
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