Healthcare Provider Details

I. General information

NPI: 1932188307
Provider Name (Legal Business Name): SORINA V. CRISTEA PA-AA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD., NW
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

723 DENMEAD ML SE
MARIETTA GA
30067-5176
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-1745
  • Fax: 404-351-7121
Mailing address:
  • Phone: 678-429-0808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number002720
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: