Grindle, Christy Lea

Grindle, Christy Lea is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grindle, Christy Lea can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN136984 Georgia

Profile Details

NPI number 1568631224
LBN Legal business name Grindle, Christy Lea
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Aug 17th, 2023 - about last year

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 1568631224 NPPES
Georgia Other 441164 WELLCARE
Georgia MEDICAID 787541872E WELLCARE
Georgia Other 441165 WELLCARE
Georgia MEDICAID 787541872F WELLCARE
Georgia Other 441157 WELLCARE
Georgia Other 441150 WELLCARE
Georgia MEDICAID 787541872A WELLCARE
Georgia MEDICAID 787541872C WELLCARE

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