Individual
CRISTINA MARIA NEGREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
031082
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
031082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000478937J
—
GA
01
—
01037218
AMERIGROUP
GA
01
—
367271
WELLCARE
GA
05
—
G31082
—
SC
01
—
GPA605
MEDICAID GROUP ID
SC
01
—
GRP3905
MEDICARE GROUP ID
GA
01
—
P00386140
RR MEDICARE
GA
Enumeration date
01/24/2006
Last updated
02/08/2022
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