Most Relevant Information
Provider Data
| NPI Number: | 1003216102 |
| Provider Name: | CHRISTOPHER PRIDE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN235938 |
Most Important Dates
| Enumeration Date: | 08/26/2014 |
| Last Updated: | 06/14/2018 |
Provider Practice Location
3350 BRECKINRIDGE BLVD STE 200
DULUTH
GA
30096
Practice Location Phone/Fax
| Phone: | 7204728052 |
| Fax: |
Provider Mailing Location
3350 BRECKINRIDGE BLVD STE 200
DULUTH
GA
300964959
Provider Mailing Phone/Fax
| Phone: | 7204728052 |
| Fax: |