Individual
CHRISTINA MARY JOHNSON SKARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
465 N BELAIR RD STE 2B, EVANS, GA 30809-3190
(706) 774-7400
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3420
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
313087023
NY
207Q00000X
Family Medicine Physician
320735
NY
207Q00000X
Family Medicine Physician
Primary
96325
GA
Other
Enumeration date
04/21/2020
Last updated
10/02/2024
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