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Individual

CRISTINA EVANS BREHOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 485-4004
(706) 262-2986
Mailing address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 485-4004
(706) 262-2986

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.751
AL
363A00000X
Physician Assistant
PA22787
CA
363AM0700X
Medical Physician Assistant
Primary
8685
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051115879
BCBS
AL
01
051115881
BCBS
AL
05
08300026
MS
05
127989
AL
05
128044
AL
Enumeration date
03/23/2011
Last updated
07/27/2020
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