Healthcare Provider Details

I. General information

NPI: 1588749998
Provider Name (Legal Business Name): COLETTE MARIE CURTIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD DEPT OF ANESTHESIA EMORY UNIVERSITY HOSPITAL
ATLANTA GA
30322
US

IV. Provider business mailing address

1364 CLIFTON RD DEPT OF ANESTHESIA
ATLANTA GA
30322
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-5582
  • Fax: 404-778-4969
Mailing address:
  • Phone: 404-778-5582
  • Fax: 404-778-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number04065
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number055553
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number55553
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: