Individual
CHRISTIE WELLS ANDEREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
3020 HIGHWAY 124, SNELLVILLE, GA 30039-4614
(770) 978-1331
Mailing address
3020 HIGHWAY 124, SNELLVILLE, GA 30039-4614
(770) 978-1331
(770) 978-8580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134851A
—
GA
Enumeration date
09/11/2012
Last updated
04/11/2017
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