Christie & Caroline, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHRISTIE & CAROLINE, LLC

Practice address

5677 Buford Hwy NE
Doraville, GA 30340-1244

Phone

(678) 547-1045

Fax

(678) 547-1048

NPI assigned

Apr 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Min Kwon

Title

Owner

Phone

(678) 547-1045

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Edward Durbin, DO

  • General Practice Physician
  • Columbia, SC
  • NPI 1255518007

  Family Medicine, GA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1285951236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 FOSCO DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974801",
            "telephone_number": "678-547-1045",
            "fax_number": "678-547-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 BUFORD HWY NE",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401244",
            "telephone_number": "678-547-1045",
            "fax_number": "678-547-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE & CAROLINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-547-1045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CGS Counseling
• Sudha Challa, MD
• Annie Chen
• Fangzhou CHI, LAC, MPH
• Chinese Medical Center, Inc. (Chinese Medical Center)
• Henry Kyungmo Chung, L,AC
• Angel Clark, CCC-SLP
• Harold Coleman Jr.
• Compassionate Client Care LLC
• Credencerx Specialty Pharmacy

• Internal Medicine Physician in Doraville, GA
• Providers in Doraville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.