Most Relevant Information
Provider Data
| NPI Number: | 1003582784 |
| Provider Name: | CHRISTINA SIMPSON ROUIS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2021 |
| Last Updated: | 08/21/2021 |
Provider Practice Location
1199 PRINCE AVE
ATHENS
GA
306062797
Practice Location Phone/Fax
| Phone: | 7064757000 |
| Fax: |
Provider Mailing Location
1081 COBBLESTONE WAY
BOGART
GA
306223207
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |