Healthcare Provider Details
I. General information
NPI: 1609119288
Provider Name (Legal Business Name): CHRISTINE WARD D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/01/2013
Last Update Date: 07/27/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 HIGHTOWER TRL STE 150
ATLANTA GA
30350-2971
US
IV. Provider business mailing address
1301 HIGHTOWER TRL STE 150
ATLANTA GA
30350-2971
US
V. Phone/Fax
- Phone: 404-497-1830
- Fax: 404-497-1828
- Phone: 44-497-1830
- Fax: 404-497-1828
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | 78345 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: