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General NPI Number Information
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NPI Number | 1801857909
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Entity Type | Individual
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Provider Name | RYAN MICHAEL CHRISTIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 109 E CHURCH ST
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City | CARTERSVILLE
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State | GA
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Zip | 30120-3203
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Country | US
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Telephone | 770-607-7339
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Fax |
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Provider Business Mailing Address
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Address Line | 520 TOWNESIDE LN
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City | MARIETTA
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State | GA
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Zip | 30064-1306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD0000039189
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 057590
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License Number State | GA
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