Individual
CHRISTINE L NELL-DYBDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1404 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 848-7160
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN127904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119156627A
—
GA
Enumeration date
10/03/2006
Last updated
03/22/2023
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