MEDICARE: ANA MARIA PLATON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	047823	GA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	047823	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P001525577	OTHER	GA	RR MCR
3	5284125402	OTHER	GA	BCBSGA IND. PROV. NUM

General Provider Information

NPI Number	:	1215017389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA PLATON MD

Provider Business Mailing Address
First Line	:	PO BOX 550528
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30355-3028
Country	:	US
Telephone Number	:	770-507-6995
Fax Number	:	770-507-8252

Provider Business Practice Location Address
First Line	:	1506 ROCK QUARRY RD
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-5047
Country	:	US
Telephone Number	:	770-507-6995
Fax Number	:	770-507-8252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	06/01/2011

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