Provider Demographics
NPI:1639113426
Name:CHARRAS, CHRISTINE HELENE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:HELENE
Last Name:CHARRAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:HELENE
Other - Last Name:POULLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:218 JOHNSON FERRY RD NE
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3820
Mailing Address - Country:US
Mailing Address - Phone:770-776-0238
Mailing Address - Fax:877-329-2799
Practice Address - Street 1:218 JOHNSON FERRY RD NE
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3820
Practice Address - Country:US
Practice Address - Phone:770-776-0238
Practice Address - Fax:877-329-2799
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006662111N00000X
SC2147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCHFJMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
GAU91281Medicare UPIN