Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME109867 | FL |
N | 2081P2900X | Pain Medicine | 036108842 | IL |
NPI | 1134194079 |
---|---|
Provider Name | Christine Marie Villoch |
First Address | Atlanta, GA 30384-8054 |
Second Address | Miami, FL 33176-2127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 30/01/2022 |