Individual
DEREK WALTHER CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15 JOHN MADDOX DR NW, ROME, GA 30165-1413
(706) 368-8550
(706) 236-7473
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008584
GA
Other
Enumeration date
07/22/2015
Last updated
08/16/2023
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