Individual
MRS. CHRISTINA S GUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 454-7422
(864) 454-8265
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
82428
SC
207Q00000X
Family Medicine Physician
TRN22658
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
20-82428
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
82428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824282
—
SC
Enumeration date
04/22/2016
Last updated
07/12/2022
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