Provider Demographics
NPI:1801963368
Name:CHRISTIE, MELVILLE DEVO (NP)
Entity type:Individual
Prefix:
First Name:MELVILLE
Middle Name:DEVO
Last Name:CHRISTIE
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:235 PEACHTREE ST NE
Mailing Address - Street 2:SUITE #2100, NORTH TOWER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1401
Mailing Address - Country:US
Mailing Address - Phone:770-994-9326
Mailing Address - Fax:770-994-4747
Practice Address - Street 1:235 PEACHTREE ST NE
Practice Address - Street 2:SUITE #2100, NORTH TOWER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1401
Practice Address - Country:US
Practice Address - Phone:770-994-9326
Practice Address - Fax:770-994-4747
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN159008363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner