Christie C Waddell, RRT,RCP

Individual provider Active NPI Registered Respiratory Therapist · Warm Springs, GA

NPI 1780906602 · NPPES record last updated Feb 19, 2010

Key facts

NPI
1780906602
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
3190 (GA)
Practice address
5427 Roosevelt Hwy
Warm Springs, GA 31830
Phone
(706) 457-1145
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3190GAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 3190 GA Yes
Geriatric Care Registered Respiratory Therapist 2279G0305X GA
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X GA
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X GA

Addresses

Primary practice location

5427 Roosevelt Hwy
Warm Springs, GA 31830

Mailing address

PO Box 963
Warm Springs, GA 31830-0963
Phone (706) 457-1145

Other names

  • Christie A Carroll Former name

Other providers in Warm Springs, GA

All providers in Warm Springs, GA · Registered Respiratory Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.