Individual
CHRISTINE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E NORTHWOOD ST, GREENSBORO, NC 27401-1310
(336) 373-0936
Mailing address
612 HOLLYHILL RD, JOHNSON CITY, TN 37604-3007
(423) 948-6986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000027297
TN
Other
Enumeration date
11/17/2020
Last updated
09/19/2021
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