Basic Information
Provider Information
NPI: 1700080736
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIRARD
FirstName: CHRISTINA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 825C MERRIMON AVE # 285
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288042404
CountryCode: US
TelephoneNumber: 7073262360
FaxNumber:  
Practice Location
Address1: FAMILY MEDICAL CENTER
Address2: 510 BALSAM ROAD
City: HENDERSONVILLE
State: NC
PostalCode: 28792
CountryCode: US
TelephoneNumber: 8286934431
FaxNumber: 8286934434
Other Information
ProviderEnumerationDate: 06/13/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X9900229NCY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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