Individual
CHRISTIE RARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
581 VIRGINIA AVE, SUWANEE, GA 30024-2210
(404) 395-4228
Mailing address
581 VIRGINIA AVE, SUWANEE, GA 30024-2210
(404) 395-4228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT007792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966327739A
—
GA
Enumeration date
11/13/2006
Last updated
09/28/2011
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