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Contact Information

CHRISTIE W ANDEREGG, PA - C
3020 HIGHWAY 124
SNELLVILLE, GA30039-4614
 Phone: 770-978-1331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTIE W ANDEREGG · (Female)

NPI # 1346590023
Status Active
Credentials PA - C
Entity Individual
Enumeration date 09/11/2012
Last updated 04/11/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 2367
  • GA Medicaid 003134851A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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