Individual
CHRISTINE WILSON WITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
311 GWINNETT DR, LAWRENCEVILLE, GA 30046-5671
(404) 940-3504
Mailing address
3758 SEPTEMBER WAY, SNELLVILLE, GA 30039-8042
(404) 940-3504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN229253
GA
Other
Enumeration date
01/12/2022
Last updated
01/22/2025
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