Individual
CHRISTINA BIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PERRY WILEY WAY, CHESTERFIELD, SC 29709-5701
(843) 623-5080
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24102
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24102
MEDICAL LICENSE #
SC
05
—
241027
—
SC
Enumeration date
07/30/2006
Last updated
03/22/2023
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