Individual
CHRISTINE GANGWISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 290, CANTON, GA 30115-8029
(770) 721-9420
Mailing address
470 NORTHSIDE CHEROKEE BLVD STE 290, CANTON, GA 30115-8029
(770) 921-9420
(770) 921-9421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN240343
GA
363L00000X
Nurse Practitioner
Primary
RN240343
GA
Other
Enumeration date
04/13/2019
Last updated
05/15/2024
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