Provider Demographics
NPI:1629279872
Name:MARSHALL, CHRISTY ADAMS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:ADAMS
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 POINTER DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-5892
Mailing Address - Country:US
Mailing Address - Phone:229-349-1560
Mailing Address - Fax:
Practice Address - Street 1:1212 US HIGHWAY 19 S
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-4877
Practice Address - Country:US
Practice Address - Phone:229-431-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA21256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist