Healthcare Provider Details

I. General information

NPI: 1629253299
Provider Name (Legal Business Name): CHRISTOPHER DANIEL HORNSBY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE ROOM G163
ATLANTA GA
30322-1064
US

IV. Provider business mailing address

EMORY UNIVERSITY HOSPITAL 1364 CLIFTON ROAD NE
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-4326
  • Fax:
Mailing address:
  • Phone: 404-712-4326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number058872
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number058872
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: