Provider Demographics
NPI:1447035258
Name:GEORGE, CHRISTINIA (RPH, BCGP)
Entity type:Individual
Prefix:
First Name:CHRISTINIA
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:RPH, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 FRANKLIN GTWY SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8029
Mailing Address - Country:US
Mailing Address - Phone:404-921-4914
Mailing Address - Fax:
Practice Address - Street 1:877 FRANKLIN GTWY SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8029
Practice Address - Country:US
Practice Address - Phone:404-921-4914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist