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1720513591 NPI number — CRISTEN GARRETT CAIN M.D.

NPI Number: 1720513591
Health Care Provider/Practitioner: CRISTEN GARRETT CAIN M.D.

Information about “1720513591” NPI (CRISTEN GARRETT CAIN M.D.) exists in 1720513591 in HTML format HTML  |  1720513591 in plain Text format TXT  |  1720513591 in PDF (Portable Document Format) PDF  |  1720513591 in an XML format XML  formats.

NPI Number : 1720513591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720513591",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CAIN",
    "FirstName": "CRISTEN",
    "MiddleName": "GARRETT",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARRETT",
    "OtherFirstName": "CRISTEN",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1000 JOHNSON FERRY RD, NE",
    "SecondLineMailingAddress": "DEPT 905",
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30342",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-300-2476",
    "MailingAddressFaxNumber": "404-250-8010",
    "FirstLinePracticeLocationAddress": "1000 JOHNSON FERRY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-1606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-851-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/28/2017",
    "LastUpdateDate": "10/04/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "92915",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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