Individual
MR. CHRISTOPHER CHARLES CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 PARK EAST DR, ROSWELL, GA 30075-3011
(770) 355-5709
Mailing address
120 PARK EAST DR, ROSWELL, GA 30075-3011
(770) 355-5709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN144957
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
05/12/2006
Last updated
04/15/2015
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