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Individual

MICHAEL LAUREN CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1558 MARIETTA HWY STE 210, CANTON, GA 30114-3615
(470) 259-0444
Mailing address
2799 LAWRENCEVILLE HWY STE 106, DECATUR, GA 30033-2517
(703) 753-1154
(470) 375-3117

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN221396
GA
207Q00000X
Family Medicine Physician
Primary
F07181214
GA

Other

Enumeration date
07/25/2018
Last updated
03/07/2023
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