Individual
DR. CHRISTOPHER BORREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4720 NELSON BROGDON BLVD, SUGARHILL, GA 30518-3480
(770) 945-1990
(770) 945-3631
Mailing address
4720 NELSON BROGDON BLVD, SUGARHILL, GA 30518-3480
(770) 945-1990
(770) 945-3631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052259
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514775591A
—
GA
01
—
52703490
BLUE CROSS BLUE SHIELD
GA
Enumeration date
08/12/2005
Last updated
07/12/2007
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