Individual
MIRADA GUILD CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(912) 354-9447
Mailing address
302 GLOUCESTER RD, SAVANNAH, GA 31410-3162
(912) 704-9144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12340
GA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/24/2024
Last updated
08/14/2024
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