Individual
CHRISTINE MARIE LANDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(855) 270-3558
Mailing address
295 WOODCREEK LN, FAYETTEVILLE, GA 30215-2969
(678) 739-8106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10378
STATE LICENSE
GA
Enumeration date
05/09/2021
Last updated
05/09/2021
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