Individual
DR. THERESA L CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 GARREDD BLVD, AUGUSTA, GA 30909-6758
(706) 922-4620
(706) 922-4627
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
(706) 790-4393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042543
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00719595A
—
GA
01
—
G42543
MEDICAID
SC
Enumeration date
09/22/2005
Last updated
02/18/2021
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