Individual
MS. CHRISTINE ELIZABETH TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 E POST RD, WHITE PLAINS, NY 10601-4699
(914) 681-2706
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005891
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110413B
—
GA
Enumeration date
08/07/2010
Last updated
01/02/2020
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