Provider Demographics
NPI:1962642793
Name:LIM, CRISTITA PAHANG (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTITA
Middle Name:PAHANG
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3441 CYPRESS MILL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-2878
Mailing Address - Country:US
Mailing Address - Phone:912-554-8542
Mailing Address - Fax:912-264-5965
Practice Address - Street 1:3045 SCARLETT ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-1251
Practice Address - Country:US
Practice Address - Phone:912-554-8500
Practice Address - Fax:912-280-1523
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
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Provider Licenses
StateLicense IDTaxonomies
GA0605292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry