Individual
MRS. CHRISTINE DIANA WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
703 E. 9TH STREET NORTH, BLDG 4970, ROOM 123, FORT STEWART, GA 31314
(912) 435-1383
(912) 435-6133
Mailing address
703 E. 9TH STREET NORTH, BLDG 4970, ROOM 123, FORT STEWART, GA 31314
(912) 435-1383
(912) 435-6133
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
78213
SC
163WC0400X
Case Management Registered Nurse
RN150190
GA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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