Christie, Theresa L

Christie, Theresa L is an sole proprietor health care provider with primary practice located at 1115 Garredd Blvd , Augusta GA 30909-6758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Christie, Theresa L can be contacted via phone (706) 922-4620.

Contact Information

Primary practice address
1115 Garredd Blvd Augusta GA 30909-6758
Phone: (706) 922-4620
Fax: (706) 922-4627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042543 Georgia

Profile Details

NPI number 1760478168
LBN Legal business name Christie, Theresa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Feb 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760478168 NPPES
Georgia MEDICAID 00719595A
Georgia Other G42543

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