Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christine Sutanto

Individual provider Family Medicine Physician · NPI 1932940541

Christine Sutanto is a Family Medicine Physician in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

1459 Laney Walker Blvd
Augusta, GA 30912-0002
Phone: (706) 721-7005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16476 (GA)

Record details

NPI number1932940541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 5, 2024
Mailing address636 11th St Apt 2109, Augusta, GA 30901-2186

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