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Individual

CHRISTIE VERNON KLINGINSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
100
SC
367H00000X
Anesthesiologist Assistant
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
08/10/2020
Last updated
11/01/2022
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