Individual
CHRISTIANNA MARIE GHALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
433 US HIGHWAY 80 W, POOLER, GA 31322-2509
(912) 748-1100
(912) 748-1004
Mailing address
433 US HIGHWAY 80 W, POOLER, GA 31322-2509
(912) 748-1100
(912) 748-1004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065420
AMERIGROUP
GA
01
—
349772
WELLCARE
GA
05
—
680312905A
—
GA
05
—
680312905B
—
GA
05
—
G56554
—
SC
01
—
P00268076
RAILROAD MEDICARE
GA
Enumeration date
05/24/2006
Last updated
09/27/2010
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