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NPI Code Detail

MEDICARE: DR. CHRISTINA MARIE CAMP PHD

MEDICARE: DR. CHRISTINA MARIE CAMP PHD
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
1103T00000XPsychologist
2103T00000XPsychologistPSY003336GA

General Provider Information

NPI Number : 1467780296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA MARIE CAMP PHD
Provider Business Mailing Address
First Line : 3355 LENOX RD NE STE 1000
Second Line :
City : ATLANTA
State : GA
Zip : 30326-2000
Country : US
Telephone Number : 404-372-5251
Fax Number : 770-840-7416
Provider Business Practice Location Address
First Line : 3355 LENOX RD NE STE 1000
Second Line :
City : ATLANTA
State : GA
Zip : 30326-2000
Country : US
Telephone Number : 404-372-5251
Fax Number : 770-840-7416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2009
Last Update Date : 12/19/2022

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