Provider Demographics
NPI:1376696856
Name:CASEY, CHRISTINE G (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:G
Last Name:CASEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1600 CLIFTON RD, NE MAILSTOP D-72
Mailing Address - Street 2:CENTERS FOR DISEASE CONTROL AND PREVENTION
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30333
Mailing Address - Country:US
Mailing Address - Phone:404-639-2973
Mailing Address - Fax:404-639-4903
Practice Address - Street 1:1701 HARDEE AVE SE
Practice Address - Street 2:LAWRENCE JOEL HEALTH CLINI
Practice Address - City:FT MCPHERSON
Practice Address - State:GA
Practice Address - Zip Code:30330
Practice Address - Country:US
Practice Address - Phone:404-464-0414
Practice Address - Fax:404-464-0415
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA61480207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics