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NPI Code Detail

MEDICARE: DR. MICHAEL W CHRISTA MD

MEDICARE: DR. MICHAEL W CHRISTA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician040637GA

General Provider Information

NPI Number : 1013908128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL W CHRISTA MD
Provider Business Mailing Address
First Line : 4250 BROWNSVILLE RD
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-2559
Country : US
Telephone Number : 678-567-8000
Fax Number : 770-439-3555
Provider Business Practice Location Address
First Line : 4250 BROWNSVILLE RD
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-2559
Country : US
Telephone Number : 678-567-8000
Fax Number : 770-439-3555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL W CHRISTA MD” Practice Location

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