| Christie & Caroline, Llc | |
|
5677 Buford Hwy Ne Doraville GA 30340-1244 | |
| (678) 547-1045 | |
| (678) 547-1048 |
| Full Name | Christie & Caroline, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5677 Buford Hwy Ne, Doraville, Georgia |
| Authorized Official Name and Position | Min Kwon (OWNER) |
| Authorized Official Contact | 6785471045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christie & Caroline, Llc 2050 Fosco Dr Duluth GA 30097-4801 Ph: (678) 547-1045 | Christie & Caroline, Llc 5677 Buford Hwy Ne Doraville GA 30340-1244 Ph: (678) 547-1045 |
| NPI Number | 1285951236 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 06/02/2010 |
| Medicare PECOS PAC ID | 0547385601 |
|---|---|
| Medicare Enrollment ID | O20100913000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285951236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Randy Durbin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255518007 PECOS PAC ID: 0345304614 Enrollment ID: I20120709000641 |
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