Healthcare Provider Details

I. General information

NPI: 1730768201
Provider Name (Legal Business Name): CHRISTINA GOZZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY RD
ATLANTA GA
30342-1764
US

IV. Provider business mailing address

3000 ARLINGTON AVE # MS 1095
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-8059
  • Fax:
Mailing address:
  • Phone: 419-383-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number100131
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number100131
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: