Healthcare Provider Details

I. General information

NPI: 1295793560
Provider Name (Legal Business Name): CASSANDRA D. JOSEPHSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE DEPT. OF PATHOLOGY
ATLANTA GA
30322-1060
US

IV. Provider business mailing address

1405 CLIFTON RD NE DEPT. OF PATHOLOGY
ATLANTA GA
30322-1060
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-6499
  • Fax: 404-785-1390
Mailing address:
  • Phone: 404-785-6499
  • Fax: 404-785-1390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number047608
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number047608
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: