Individual
KRISTA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 SAINT SEBASTIAN WAY STE 4A, AUGUSTA, GA 30901-2643
(706) 774-7760
(706) 774-7766
Mailing address
820 SAINT SEBASTIAN WAY, AUGUSTA, GA 30901-2643
(706) 774-7760
(706) 774-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8987
GA
Other
Enumeration date
10/12/2018
Last updated
05/04/2020
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