Healthcare Provider Details

I. General information

NPI: 1386980217
Provider Name (Legal Business Name): CHRISTINE LAVERN MCFARLANE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2012
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5764 PEACHTREE INDUSTRIAL BLVD
CHAMBLEE GA
30341-1908
US

IV. Provider business mailing address

5095 PEACHTREE PKWY
NORCROSS GA
30092-2524
US

V. Phone/Fax

Practice location:
  • Phone: 770-457-4401
  • Fax: 770-457-9434
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN164464
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: