Provider Demographics
NPI:1770769903
Name:FREE, CHRISTINA SUE (PA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:SUE
Last Name:FREE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-0655
Mailing Address - Country:US
Mailing Address - Phone:731-925-2300
Mailing Address - Fax:731-926-1373
Practice Address - Street 1:207 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TN
Practice Address - Zip Code:38425-5547
Practice Address - Country:US
Practice Address - Phone:931-676-3121
Practice Address - Fax:931-676-3245
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
TN1567363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical