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Individual

CHRISTINA DIXON SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
7780 MCGINNIS FERRY RD, SUWANEE, GA 30024-1622
(205) 980-7511
Mailing address
1035 SCALES RD, 4203, SUWANEE, GA 30024-1822
(256) 508-7575

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17728
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17728
STATE LICENSE
AL
01
RPH029474
STATE LICENSE
GA
Enumeration date
06/28/2014
Last updated
10/11/2016
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