Healthcare Provider Details

I. General information

NPI: 1497082416
Provider Name (Legal Business Name): CHRISTINA FAYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA COLEMAN MD

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JR DR SE DEPARTMENT OF ANESTHESIOLOGY
ATLANTA GA
30303-3031
US

IV. Provider business mailing address

80 JESSE HILL JR DR SE DEPARTMENT OF ANESTHESIOLOGY
ATLANTA GA
30303-3031
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-6047
  • Fax: 404-616-9213
Mailing address:
  • Phone: 404-616-6047
  • Fax: 404-616-9213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number73412
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: