Healthcare Provider Details

I. General information

NPI: 1124463922
Provider Name (Legal Business Name): MARIA ESTEFANIA BARBIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 06/06/2022
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE
ATLANTA GA
30308-2212
US

IV. Provider business mailing address

550 PEACHTREE ST NE
ATLANTA GA
30308-2212
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-2694
  • Fax: 404-686-4631
Mailing address:
  • Phone: 404-686-2694
  • Fax: 404-686-4631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number78229
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: