Provider Demographics
NPI:1104034172
Name:WEEKS, CHRISTI GARNER (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:GARNER
Last Name:WEEKS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:CHRISTINA
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1611 OLIVIA WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-7291
Mailing Address - Country:US
Mailing Address - Phone:334-332-8011
Mailing Address - Fax:
Practice Address - Street 1:1611 OLIVIA WAY
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-7291
Practice Address - Country:US
Practice Address - Phone:334-332-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5440122300000X
MS3362-05122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09014679Medicaid